Coloma Dental Office of Ruslan Zmievschi, Inc
Organization Active NPI General Practice Dentistry · Lotus, CA
NPI 1184249583 · NPPES record last updated Jul 14, 2020
Key facts
- NPI
- 1184249583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- COLOMA DENTAL OFFICE OF RUSLAN ZMIEVSCHI, INC
- Practice address
- 7170 Highway Ca-49,Suite 3
Lotus, CA 95651-9565 - Phone
- (530) 621-0900
- NPI assigned
- Jun 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Ruslan Dental Zmievschi, DDS
- Title
- Owner
- Phone
- (530) 621-0900
Practitioners 2
-
Ruslan Zmievschi, D.D.S.
-
Michael A. Wilcox, D.D.S.
National Provider Directory
Locations
7170 State Highway 49
Ste 3
Lotus, CA 95651
Phone (530) 621-0900
7170 State Highway 49
Lotus, CA 95651
Phone (530) 621-0900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
7170 Highway Ca-49,Suite 3
Lotus, CA 95651-9565
Mailing address
PO Box 944
Lotus, CA 95651-0944
Other providers in Lotus, CA
- Derrick Hans Bonderud
- Daniel Alexander Brandon
- Tom Allen Clark
- Kristina Donsbach
- Brangwyn Ursula Foley
- Daniel Lawrence Gilliland
- Anthony James Gonzalez
- Karen Ruth Kelleher
All providers in Lotus, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.