Organization
AVA VAKILI, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVA VAKILI MS, DDS, MSD (PRESIDENT)
(650) 440-0398
Entity
Organization
Contact information
Practice address
4655 HOEN AVE STE 7, SANTA ROSA, CA 95405-7830
(650) 440-0398
Mailing address
4655 HOEN AVE STE 7, SANTA ROSA, CA 95405-7830
(650) 440-0398
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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