Provider Demographics
NPI:1558687483
Name:FATIMA VAFAI DDS, INC
Entity Type:Organization
Organization Name:FATIMA VAFAI DDS, INC
Other - Org Name:SINCERE SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAFAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-569-1251
Mailing Address - Street 1:4748 RASPBERRY PL
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-1935
Mailing Address - Country:US
Mailing Address - Phone:408-569-1251
Mailing Address - Fax:
Practice Address - Street 1:888 SARATOGA AVE STE 102
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-2639
Practice Address - Country:US
Practice Address - Phone:408-569-1251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54429261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental