Individual
DR. AMENEH KHOSROVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3010 COLBY ST, SUITE 217, BERKELEY, CA 94705-2091
(510) 848-6494
(510) 848-9329
Mailing address
3010 COLBY ST, SUITE 217, BERKELEY, CA 94705-2091
(510) 848-6494
(510) 848-9329
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
48132
CA
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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