Viktoriya Viktorivna Seliverstova V, DDS
Dentist in Sacramento, CA. Individual provider (NPI-1).
NPI number1619084621
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619084621
- Entity type
- Individual (NPI-1)
- Name
- Viktoriya Viktorivna Seliverstova V
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 50821 | CA | Yes |
Practice location
3945 Marysville BlvdSiute 2
Sacramento, CA 95838-3711
Phone 916-564-5294
Mailing address
3945 Marysville BlvdSiute 2
Sacramento, CA 95838-3711
Phone 916-564-5294
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