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Katsura Khalil Nakazato Khosrovani Dds Inc.
Pediatric Dentist in Berkeley, California
NPI 1043340227

Katsura Khalil Nakazato Khosrovani Dds Inc. is a Pediatric Dentist based in Berkeley, CA and is specialized in Pediatric Dentistry. Katsura Khalil Nakazato Khosrovani Dds Inc. practices in Berkeley, CA. The NPI Number for Katsura Khalil Nakazato Khosrovani Dds Inc. is 1043340227 and holds a License No. 32728 (California).

The current practice location address for Katsura Khalil Nakazato Khosrovani Dds Inc. is 2640 Telegraph Ave, Berkeley, CA and can be reached out via phone at 510-848-6494 and via fax at 510-981-1159.

Location: 2640 Telegraph Ave, Berkeley, CA, 94704-3374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043340227
Provider Name
Katsura Khalil Nakazato Khosrovani Dds Inc.
Credential
Provider Entity Type
Organization
Address
2640 Telegraph Ave, Berkeley, CA, 94704-3374
Phone Number
510-848-6494
Fax Number
510-981-1159
Provider Enumeration Date
03/06/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2640 Telegraph Ave
City
Berkeley
State
California
Zip
94704-3374
Phone Number
510-848-6494
Fax Number
510-981-1159
person
Provider Business Mailing Address Details
Address
2640 Telegraph Ave
City
Berkeley
State
California
Zip
94704-3374
Phone Number
510-848-6494
Fax Number
510-981-1159
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
32728 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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