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Organization
TETZ & VARLAKOVA DENTAL CORPORATION
Active
Organization
TETZ & VARLAKOVA DENTAL CORPORATION
Active
Other names
St Helena Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
EMMETT LEE TETZ DDS (VICE PRESIDENT)
(707) 963-5369
Entity
Organization
Contact information
Practice address
1570 RAILROAD AVE, SAINT HELENA, CA 94574-1106
(707) 963-5369
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
—
61598
DENTAL LICENSE
CA
Enumeration date
04/08/2020
Last updated
03/07/2023
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