Organization
KATSURA KHALIL NAKAZATO KHOSROVANI DDS INC.
Active
Other names
Pediatric Dentistry, Aloha Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MAHI AMERINO (DENTAL PRACTICE ADMINISTRATOR)
(510) 848-6494
Entity
Organization
Contact information
Practice address
2640 TELEGRAPH AVE, SUITE 101, BERKELEY, CA 94704-3374
(510) 848-6494
(510) 981-1159
Mailing address
2640 TELEGRAPH AVE, SUITE 101, BERKELEY, CA 94704-3374
(510) 848-6494
(510) 981-1159
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
32728
CA
Other
Enumeration date
03/06/2007
Last updated
03/30/2022
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