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DR. DORA KOROS GAVROS D.D.S

>> Dentist >> Dental Providers

Registrant NPI Number: 1932320744

Individual Registrant:
DR. DORA KOROS GAVROS D.D.S
Gender: F
Sole Proprietor

Location and contact information for practice:
1550 TIBURON BLVD SUITE X BELVEDERE, CA 94920-2564 US
Tel: 415-435-3111  Fax: 415-435-3147

Contact information for business:
1550 TIBURON BLVD SUITE X BELVEDERE, CA 94920-2564 US
Tel: 415-435-3111  Fax: 415-435-3147

Registration Information:
NPI: 1932320744
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA44720

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TAX ID NUMBER8820543714CA01




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