EMILIIA MGDVELADZE

SANTA MARIA, CA
NPI1922705029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  108568)
Enumeration Date2023-02-09
Last Update Date2023-05-06
Business Address
Dr. EMILIIA MGDVELADZE DDS
2205 S BROADWAY OFC 122
SANTA MARIA, CA 93454-7813
Phone number: 805-863-9430
Mailing Address
Dr. EMILIIA MGDVELADZE DDS
680 LONGBRANCH AVE
GROVER BEACH, CA 93433-2306
Phone number: 424-216-0718