| Elmwood Dental Care | |
|
2620 Ashby Ave Suite 201 Berkeley CA 94705 | |
| (510) 883-9373 | |
| (510) 883-9372 |
| Full Name | Elmwood Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2620 Ashby Ave, Berkeley, California |
| Authorized Official Name and Position | Hosein S Bavafa (DENTIST) |
| Authorized Official Contact | 5108839373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Dental Care 2620 Ashby Ave Suite 201 Berkeley CA 94705 Ph: (510) 883-9373 | Elmwood Dental Care 2620 Ashby Ave Suite 201 Berkeley CA 94705 Ph: (510) 883-9373 |
| NPI Number | 1427229848 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427229848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44806 (California) | Primary |
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