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Dr. Emiliia Mgdveladze, DDS
General Practice Dentistry in Santa Maria, California
NPI 1922705029

Emiliia Mgdveladze is a General Practice Dentistry based in Grover Beach, CA and is specialized in General Practice. Emiliia Mgdveladze practices in Santa Maria, CA and has the professional credentials of DDS. The NPI Number for Emiliia Mgdveladze is 1922705029 and holds a License No. 108568 (California).

The current practice location address for Emiliia Mgdveladze is 2205 S Broadway Ofc 122, Santa Maria, CA and can be reached out via phone at 805-863-9430.

Location: 2205 S Broadway Ofc 122, Santa Maria, CA, 93433-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922705029
Provider Name
Emiliia Mgdveladze
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2205 S Broadway Ofc 122, Santa Maria, CA, 93433-2306
Phone Number
805-863-9430
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2205 S Broadway Ofc 122
City
Santa Maria
State
California
Zip
93454-7813
Phone Number
805-863-9430
Fax Number
person
Provider Business Mailing Address Details
Address
2205 S Broadway Ofc 122
City
Santa Maria
State
California
Zip
93454-7813
Phone Number
805-863-9430
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
108568 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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