Organization
EDWARD A. AVAKOFF D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD AVAKOFF (PRESIDENT)
(408) 246-2550
Entity
Organization
Contact information
Practice address
1080 SCOTT BLVD STE 4, SANTA CLARA, CA 95050-5237
(408) 246-2550
Mailing address
1080 SCOTT BLVD STE 4, SANTA CLARA, CA 95050-5237
(408) 246-2550
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25859
CA
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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