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Organization
LILYA VAISMAN DDS AND KLARA
Active
Organization
LILYA VAISMAN DDS AND KLARA
Active
Other names
citrus heights dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILYA VAISMAN D.D.S. (DENTIST)
(916) 723-8900
Entity
Organization
Contact information
Practice address
6994 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3144
(916) 723-8900
(916) 723-5168
Mailing address
6994 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3144
(916) 723-8900
(916) 723-5168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2 34245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D34245
—
CA
Enumeration date
03/14/2007
Last updated
08/05/2008
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