G.c. Dorostkar, Dds,pc
NPI #1881138303 in Mill Valley, California
Provider Information
- NPI Number
- 1881138303
- Entity Type
- Organization
- Organization Name
- G.c. Dorostkar, Dds,pc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 19, 2016
- Last Updated
- Dec 19, 2016
Practice Location
- Address
- 650 E BLITHEDALE AVE
- Address 2
- SUITE C
- City
- Mill Valley
- State
- California
- ZIP Code
- 94941-1478
- Phone
- (415) 461-0414
Authorized Official
- Name
- MS. DEBORAH COLEY
- Title
- EXECUTIVE MANAGER
- Phone
- (415) 461-0414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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