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Organization
VARLAKOVA DENTAL CORPORATION
Active
Organization
VARLAKOVA DENTAL CORPORATION
Active
Other names
Cotati Dental Wellness, Glen Ellen Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALITZA VARLAKOVA DDS (PRESIDENT)
(707) 992-5066
Entity
Organization
Contact information
Practice address
8125 LA PLZ, COTATI, CA 94931-4244
(707) 992-5066
Mailing address
748 SUNNYSIDE RD, SAINT HELENA, CA 94574-9741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60492
DENTAL BOARD LICENSE
CA
Enumeration date
02/09/2018
Last updated
06/16/2018
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