Organization
DR.'S SHTURMAN, MICHELSON AND KISILYUK A DENTAL CORPORATION
Active
Other names
Dental Medicine Providers
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE CAMPBELL (OFFICE ADMINISTRATOR)
(916) 737-6453
Entity
Organization
Contact information
Practice address
1050 NORTHGATE DR, 250B, SAN RAFAEL, CA 94903-2526
(415) 306-1456
Mailing address
1050 NORTHGATE DR, 250B, SAN RAFAEL, CA 94903-2526
(415) 306-1456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45975
CA
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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