Edward A. Avakoff D.d.s., Inc. | |
1080 Scott Blvd Ste 4 Santa Clara CA 95050-5237 | |
(408) 246-2550 | |
Not Available |
Full Name | Edward A. Avakoff D.d.s., Inc. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1080 Scott Blvd Ste 4, Santa Clara, California |
Authorized Official Name and Position | Edward Avakoff (PRESIDENT) |
Authorized Official Contact | 4082462550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edward A. Avakoff D.d.s., Inc. 1080 Scott Blvd Ste 4 Santa Clara CA 95050-5237 Ph: (408) 246-2550 | Edward A. Avakoff D.d.s., Inc. 1080 Scott Blvd Ste 4 Santa Clara CA 95050-5237 Ph: (408) 246-2550 |
NPI Number | 1083822654 |
---|---|
Provider Enumeration Date | 05/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083822654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 25859 (California) | Primary |
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