Kazak Dental Corp
NPI #1841945490 in San Anselmo, California
Provider Information
- NPI Number
- 1841945490
- Entity Type
- Organization
- Organization Name
- Kazak Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 12, 2022
- Last Updated
- Feb 12, 2022
Practice Location
- Address
- 915 SIR FRANCIS DRAKE BLVD STE 1
- City
- San Anselmo
- State
- California
- ZIP Code
- 94960-1946
- Phone
- (415) 454-5667
Authorized Official
- Name
- DR. NIKIT F KAZAK, DDS
- Title
- PRESIDENT
- Phone
- (415) 652-9916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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