Organization
G.C. DOROSTKAR, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH COLEY (EXECUTIVE MANAGER)
(415) 461-0414
Entity
Organization
Contact information
Practice address
650 E BLITHEDALE AVE, SUITE C, MILL VALLEY, CA 94941-1478
(415) 461-0414
Mailing address
650 E BLITHEDALE AVE, SUITE C, MILL VALLEY, CA 94941-1478
(415) 461-0414
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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