Bruce Vafa DDS Dental Corp

NPI #1689118192 in Beverly Hills, California

Provider Information

NPI Number: 1689118192
Entity Type: Organization
Organization Name: Bruce Vafa DDS Dental Corp
Primary Specialty: Dentist
Enumeration Date: Dec 19, 2016
Last Updated: Dec 19, 2016

Practice Location

Address: 8500 WILSHIRE BLVD STE 709
City: Beverly Hills
State: California
ZIP Code: 90211-3105
Phone: (310) 201-9001

Authorized Official

Name: DR. BRUCE VAFA, DDS
Title: PRESIDENT
Phone: (310) 201-9001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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