Organization
COLOMA DENTAL OFFICE OF RUSLAN ZMIEVSCHI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSLAN DENTAL ZMIEVSCHI DDS (OWNER)
(530) 621-0900
Entity
Organization
Contact information
Practice address
7170 HIGHWAY CA-49,SUITE 3, LOTUS, CA 95651-9565
(530) 621-0900
Mailing address
PO BOX 944, LOTUS, CA 95651-0944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
07/14/2020
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