Organization
TATYANA YASHCHUK
Active
Other names
Golden State Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATYANA L. YASHCHUK (DDS)
(925) 705-7093
Entity
Organization
Contact information
Practice address
2161 YGNACIO VALLEY RD, SUITE 101, WALNUT CREEK, CA 94598-3396
(925) 705-7093
(925) 952-7050
Mailing address
2161 YGNACIO VALLEY RD STE 101, WALNUT CREEK, CA 94598-3342
(925) 705-7093
(925) 952-7050
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689891228
NPI
CA
Enumeration date
01/29/2015
Last updated
11/17/2015
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