| Bruce Vafa Dds, Inc. | |
|
4341 Laurel Canyon Blvd Studio City CA 91604-1710 | |
| (818) 761-3230 | |
| Not Available |
| Full Name | Bruce Vafa Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4341 Laurel Canyon Blvd, Studio City, California |
| Authorized Official Name and Position | Bruce Vafa (PRESIDENT) |
| Authorized Official Contact | 8187613230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Vafa Dds, Inc. 4341 Laurel Canyon Blvd Studio City CA 91604-1710 Ph: (818) 761-3230 | Bruce Vafa Dds, Inc. 4341 Laurel Canyon Blvd Studio City CA 91604-1710 Ph: (818) 761-3230 |
| NPI Number | 1386837599 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386837599 | NPI | - | NPPES |
| G93576-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52126 (California) | Primary |
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