1932320744 NPI number — DR. DORA KOROS GAVROS D.D.S

Table of content: DR. DORA KOROS GAVROS D.D.S (NPI 1932320744)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932320744 NPI number — DR. DORA KOROS GAVROS D.D.S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GAVROS
Provider First Name:
DORA
Provider Middle Name:
KOROS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932320744
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1550 TIBURON BLVD
Provider Second Line Business Mailing Address:
SUITE X
Provider Business Mailing Address City Name:
BELVEDERE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94920-2564
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-435-3111
Provider Business Mailing Address Fax Number:
415-435-3147

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1550 TIBURON BLVD
Provider Second Line Business Practice Location Address:
SUITE X
Provider Business Practice Location Address City Name:
BELVEDERE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94920-2564
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-435-3111
Provider Business Practice Location Address Fax Number:
415-435-3147
Provider Enumeration Date:
05/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  44720 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8820543714 . This is a "TAX ID NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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