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Organization
HOSEIN BAVAFA
Active
Organization
HOSEIN BAVAFA
Active
Other names
Elmwood Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSEIN S BAVAFA DDS (DENTIST)
(510) 883-9373
Entity
Organization
Contact information
Practice address
2620 ASHBY AVE, SUITE 201, BERKELEY, CA 94705
(510) 883-9373
(510) 883-9372
Mailing address
2620 ASHBY AVE, SUITE 201, BERKELEY, CA 94705
(510) 883-9373
(510) 883-9372
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44806
CA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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