Provider Demographics
NPI:1659554699
Name:NEDELTCHEVA, TZVETANKA V (DDS)
Entity Type:Individual
Prefix:DR
First Name:TZVETANKA
Middle Name:V
Last Name:NEDELTCHEVA
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 1:500 OLD RIVER RD STE 225
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9508
Mailing Address - Country:US
Mailing Address - Phone:661-663-0109
Mailing Address - Fax:661-663-9810
Practice Address - Street 1:500 OLD RIVER RD STE 225
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9508
Practice Address - Country:US
Practice Address - Phone:661-663-0109
Practice Address - Fax:661-663-9810
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56620122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist