Provider Demographics
NPI:1518186147
Name:VAFI, SEPIDEH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEPIDEH
Middle Name:
Last Name:VAFI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 PALMETTO AVE
Mailing Address - Street 2:STE F
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-2273
Mailing Address - Country:US
Mailing Address - Phone:650-738-2100
Mailing Address - Fax:650-738-9680
Practice Address - Street 1:1301 PALMETTO AVE
Practice Address - Street 2:STE F
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-2273
Practice Address - Country:US
Practice Address - Phone:650-738-2100
Practice Address - Fax:650-738-9680
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA422451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry