NPI 1083822654

Edward A. Avakoff D.D.S., INC.

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Santa Clara, CA

Practice location

Address: 1080 Scott Blvd STE 4, Santa Clara, CA 95050-5237
Phone: (408) 246-2550

Authorised official

Name: Edward Avakoff
Title: President
Phone: (408) 246-2550

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 25859 (CA)

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Registry record

NPI: 1083822654
Entity type: Organization
NPI issued: 18 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.