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Organization
VIKTORIYA SELIVERSTOVA, DDS INC.
Active
Organization
VIKTORIYA SELIVERSTOVA, DDS INC.
Active
Other names
Rocklin Plaza Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKTORIYA SELIVERSTOVA DDS (CEO)
(916) 787-4141
Entity
Organization
Contact information
Practice address
2160 SUNSET BLVD, SUITE # 501, ROCKLIN, CA 95765-4790
(916) 787-4141
(916) 787-4110
Mailing address
2160 SUNSET BLVD, SUITE # 501, ROCKLIN, CA 95765-4790
(916) 787-4141
(916) 787-4110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50821
CA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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