Organization
BRUCE VAFA DDS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE VAFA DDS (PRESIDENT)
(310) 201-9001
Entity
Organization
Contact information
Practice address
8500 WILSHIRE BLVD STE 709, BEVERLY HILLS, CA 90211-3105
(310) 201-9001
(310) 289-9030
Mailing address
8500 WILSHIRE BLVD STE 709, BEVERLY HILLS, CA 90211-3105
(310) 201-9001
(310) 289-9030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52126
CA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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