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Dr. Ameneh Khosrovani, DDS
Pediatric Dentist in Berkeley, California
NPI 1053614198

Ameneh Khosrovani is a Pediatric Dentist based in Berkeley, CA and is specialized in Pediatric Dentistry. Ameneh Khosrovani practices in Berkeley, CA and has the professional credentials of DDS. The NPI Number for Ameneh Khosrovani is 1053614198 and holds a License No. 48132 (California).

The current practice location address for Ameneh Khosrovani is 3010 Colby St, Berkeley, CA and can be reached out via phone at 510-848-6494 and via fax at 510-848-9329.

Location: 3010 Colby St, Berkeley, CA, 94705-2091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053614198
Provider Name
Ameneh Khosrovani
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3010 Colby St, Berkeley, CA, 94705-2091
Phone Number
510-848-6494
Fax Number
510-848-9329
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3010 Colby St
City
Berkeley
State
California
Zip
94705-2091
Phone Number
510-848-6494
Fax Number
510-848-9329
person
Provider Business Mailing Address Details
Address
3010 Colby St
City
Berkeley
State
California
Zip
94705-2091
Phone Number
510-848-6494
Fax Number
510-848-9329
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
48132 (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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