# NADER M. VAFAIE DMD MMSC PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386553121
- **Authorized official:** MICHAELA MUNIZ (VP, PAYOR RELATIONS)
- **Authorized official phone:** (469) 324-3242

## Contact information

- **Practice address:** 1615 HILL RD STE 19, NOVATO, CA 94947-4304
- **Practice address phone:** (415) 209-6000
- **Practice address fax:** (415) 209-6100
- **Mailing address:** 1615 HILL RD STE 19, NOVATO, CA 94947-4304
- **Mailing address phone:** (415) 209-6000
- **Mailing address fax:** (415) 209-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2026
- **Last updated:** 09/07/2026