Individual
MRS. TATYANA SERIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
616 TREVISO CT, ROSEVILLE, CA 95747
(916) 871-8505
Mailing address
616 TREVISO CT, ROSEVILLE, CA 95747-8384
(916) 871-8505
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP-92
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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