Individual
DR. PAUL M. KASROVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
96 DAVIS RD, SUITE #1, ORINDA, CA 94563-3041
(510) 204-8855
(510) 548-8438
Mailing address
2640 TELEGRAPH AVE, SUITE #201, BERKELEY, CA 94704-3374
(510) 204-8855
(510) 898-1691
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
000040362
CA
Other
Enumeration date
11/19/2008
Last updated
09/12/2013
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