Hosein S Bavafa, DDS Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1780637835
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 44806 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-05-18
- Last updated
- 2007-07-08
Practice location
2620 Ashby Ave, Suite 201
Berkeley, CA 94705
(510) 883-9373