Provider Demographics
NPI:1508052309
Name:ZHALKOVSKY, MARINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:
Last Name:ZHALKOVSKY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SUTTER ST RM 1925
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4107
Mailing Address - Country:US
Mailing Address - Phone:415-397-1227
Mailing Address - Fax:415-399-0968
Practice Address - Street 1:450 SUTTER ST RM 1925
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4107
Practice Address - Country:US
Practice Address - Phone:415-397-1227
Practice Address - Fax:415-399-0968
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40773122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist