| Bruce Vafa Dds Dental Corp | |
|
8500 Wilshire Blvd Ste 709 Beverly Hills CA 90211-3105 | |
| (310) 201-9001 | |
| (310) 289-9030 |
| Full Name | Bruce Vafa Dds Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 8500 Wilshire Blvd Ste 709, Beverly Hills, California |
| Authorized Official Name and Position | Bruce Vafa (PRESIDENT) |
| Authorized Official Contact | 3102019001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Vafa Dds Dental Corp 8500 Wilshire Blvd Ste 709 Beverly Hills CA 90211-3105 Ph: (310) 201-9001 | Bruce Vafa Dds Dental Corp 8500 Wilshire Blvd Ste 709 Beverly Hills CA 90211-3105 Ph: (310) 201-9001 |
| NPI Number | 1689118192 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 5698153567 |
|---|---|
| Medicare Enrollment ID | O20220606000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689118192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52126 (California) | Primary |
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