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Organization
YAN KALIKA DENTAL CORPORATION
Active
Organization
YAN KALIKA DENTAL CORPORATION
Active
Parent organization
YAN KALIKA DENTAL CORPORATION
Other names
Smile Country Dental, Image Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAN KALIKA DENTAL CORPORATION
Authorized official
YAN KALIKA DMD (PRESIDENT)
(916) 297-6603
Entity
Organization
Contact information
Practice address
140 STONY POINT RD STE A, SANTA ROSA, CA 95401-4121
(916) 297-6600
Mailing address
3075 BEACON BLVD, WEST SACRAMENTO, CA 95691-3462
(916) 297-6600
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/08/2018
Last updated
09/26/2024
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