Organization
VIVIENE VALDEZ DENTAL CORPORATION
Active
Other names
Kali Smiles Kids
Organization subpart
No
Provider details
NPI number
Authorized official
YEKATERINA VUSIK (CREDENTIALING ASSISTANT)
(916) 259-9255
Entity
Organization
Contact information
Practice address
2762 PINOLE VALLEY RD, PINOLE, CA 94564-1425
(916) 259-9255
(916) 384-3844
Mailing address
3075 BEACON BLVD, WEST SACRAMENTO, CA 95691-3462
(916) 259-9255
(916) 384-3844
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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