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Organization
INNA SHTURMAN D.D.S A PROFESSIONAL CORPORATION
Active
Organization
INNA SHTURMAN D.D.S A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL SHTURMAN (OFFICE MANAGER)
(650) 343-4477
Entity
Organization
Contact information
Practice address
6994 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3144
(916) 737-6453
(650) 343-4412
Mailing address
6994 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3144
(916) 737-6453
(650) 343-4412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45975
STATE DENTAL LICENSE #
CA
Enumeration date
10/20/2010
Last updated
05/07/2012
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