Provider Demographics
NPI:1023237716
Name:AHANI AND VAFI DENTAL GROUP INC
Entity type:Organization
Organization Name:AHANI AND VAFI DENTAL GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HESSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-738-2100
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty