Organization
SMILE COUNTRY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAN KALIKA DDS (OWNER)
(916) 702-1213
Entity
Organization
Contact information
Practice address
140 STONY POINT RD STE A, SANTA ROSA, CA 95401-4121
(707) 578-3188
(916) 384-3844
Mailing address
3075 BEACON BLVD, W SACRAMENTO, CA 95691-3462
(916) 702-1213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/30/2018
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