| P M Kasrovi Dds Ms A Prof Dental Corp | |
|
910 Ensenada Ave Berkeley CA 94705 | |
| (510) 204-8856 | |
| Not Available |
| Full Name | P M Kasrovi Dds Ms A Prof Dental Corp |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 910 Ensenada Ave, Berkeley, California |
| Authorized Official Name and Position | Paul M Kasrovi (PRESIDENT) |
| Authorized Official Contact | 5102048856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P M Kasrovi Dds Ms A Prof Dental Corp 3010 Colby St #220 Berkeley CA 94705 Ph: (510) 204-8856 | P M Kasrovi Dds Ms A Prof Dental Corp 910 Ensenada Ave Berkeley CA 94705 Ph: (510) 204-8856 |
| NPI Number | 1144436494 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144436494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 40362 (California) | Primary |
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