# DRS SHTURMAN AND KISILYUK INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DENTAL MEDICINE PROVIDERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093961807
- **Authorized official:** MR. RUSSELL SHTURMAN (PRACTICE MANAGER)
- **Authorized official phone:** (650) 343-4477

## Contact information

- **Practice address:** 100 S ELLSWORTH AVE, STE 809, SAN MATEO, CA 94401-3939
- **Practice address phone:** (650) 343-4477
- **Practice address fax:** (650) 343-4412
- **Mailing address:** 100 S ELLSWORTH AVE, STE 809, SAN MATEO, CA 94401-3939
- **Mailing address phone:** (650) 343-4477
- **Mailing address fax:** (650) 343-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 45646 | CA | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 03/29/2017