Elena Dmitrieva, DDS Valid NPI
Individual provider · General Practice Dentistry · Antelope, CA
- NPI
- 1508611807
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 109859 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-04-19
- Last updated
- 2024-04-19
Practice location
8008 Walerga Rd Ste 100
Antelope, CA 95843-9003
(916) 725-4530