Provider Demographics
NPI:1861643488
Name:NV ORTHODONTICS
Entity Type:Organization
Organization Name:NV ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASYLYK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-560-5653
Mailing Address - Street 1:6799 DUBLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3013
Mailing Address - Country:US
Mailing Address - Phone:925-560-5653
Mailing Address - Fax:925-905-5293
Practice Address - Street 1:6799 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3013
Practice Address - Country:US
Practice Address - Phone:925-560-5653
Practice Address - Fax:925-905-5293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental