Yan Kalika Dental Corporation
Dentist, General Practice in Martinez, CA. Organization (NPI-2).
NPI number1164076410
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1164076410
- Entity type
- Organization (NPI-2)
- Legal business name
- Yan Kalika Dental Corporation
- Organization subpart
- Yes
- Enumeration date
- Jul 25, 2019
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223E0200X | Dentist, Endodontics | – | – | |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | |
| 1223P0300X | Dentist, Periodontics | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | |
| 204E00000X | Oral & Maxillofacial Surgery | – | – |
Other names
- Muir Station Smiles Children'S Dentistry And Orthodontics (Other Name)
- Muir Station Smiles (Doing Business As)
Practice location
582 Center AveMartinez, CA 94553-4600
Phone 510-626-0111
Mailing address
3075 Beacon BlvdWest Sacramento, CA 95691-3462
Phone 916-297-6603 · Fax 916-384-3844
Authorized official
Yan Kalika
President
9162976603
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