Organization · Type 2 NPI

Katsura Khalil Nakazato Khosrovani DDS Inc.

Pediatric Dentistry · Berkeley, CA

NPI number 1043340227 Active

Practice location

2640 Telegraph Ave, Suite 101
Berkeley, CA 94704-3374

Fax (510) 981-1159

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	32728 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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Evan Y Chang, DDS IncPediatric Dentistry Berkeley, CA NPI 1124888144

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NPI record

NPI: 1043340227
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Mar 30, 2022
Status: Active

Other names

<unavail>
Aloha Pediatric Dentistry · doing business as
Pediatric Dentistry · other name
Pediatric Dentistry · other name

Authorized official

Mahi Amerino
Dental Practice Administrator
(510) 848-6494

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043340227

Katsura Khalil Nakazato Khosrovani DDS Inc.'s National Provider Identifier is 1043340227, issued on Mar 6, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Berkeley, CA. The record was last updated on Mar 30, 2022.