Provider Demographics
NPI:1376689240
Name:YULIYA MOROZOVA DENTAL CORPORATION
Entity Type:Organization
Organization Name:YULIYA MOROZOVA DENTAL CORPORATION
Other - Org Name:ALLEGRODENTAL, REDWOOD CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YULIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOROZOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:650-367-7000
Mailing Address - Street 1:ALLEGRODENTAL, REDWOOD CITY
Mailing Address - Street 2:1105 D VETERANS BLVD
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063
Mailing Address - Country:US
Mailing Address - Phone:650-367-7000
Mailing Address - Fax:650-367-7051
Practice Address - Street 1:ALLEGRO DENTAL, REDWOOD CITY
Practice Address - Street 2:1105 D VETERANS BLVD
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-367-7000
Practice Address - Fax:650-367-7051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45928122300000X
CA46523122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty