MEDICARE: DR. DORA KOROS GAVROS D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	44720	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8820543714	OTHER	CA	TAX ID NUMBER

General Provider Information

NPI Number	:	1932320744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORA KOROS GAVROS D.D.S

Provider Business Mailing Address
First Line	:	1550 TIBURON BLVD
Second Line	:	SUITE X
City	:	BELVEDERE
State	:	CA
Zip	:	94920-2564
Country	:	US
Telephone Number	:	415-435-3111
Fax Number	:	415-435-3147

Provider Business Practice Location Address
First Line	:	1550 TIBURON BLVD
Second Line	:	SUITE X
City	:	BELVEDERE
State	:	CA
Zip	:	94920-2564
Country	:	US
Telephone Number	:	415-435-3111
Fax Number	:	415-435-3147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1952574980 — DR. GARRY G. GAST D.D.S.
Practice Location Address:

1550 TIBURON BLVD , SUITE Y
BELVEDERE TIBURON, CA
94920-2564

Practice Phone: 415-435-0941
Practice Fax: 415-435-1462

1750601688 — DR. THOMAS STANISLAUS MEYLER M. D.
Practice Location Address:

11 MAYBRIDGE RD
BELVEDERE, CA
94920-2380

Practice Phone: 415-435-9285
Practice Fax:

1518982560 — BARBRA A ROSS MD
Practice Location Address:

15 TOYON AVE
BELVEDERE, CA
94920-2459

Practice Phone: 650-996-6692
Practice Fax: 415-435-6943

1275623373 — LAWRENCE I LONN M.D.
Practice Location Address:

75 W SHORE RD
BELVEDERE, CA
94920-2461

Practice Phone: 415-435-4443
Practice Fax:

1033374863 — DR. KHASHAYAR G. KHOMEJANY D.D.S.
Practice Location Address:

325 SAN RAFAEL AVE
BELVEDERE, CA
94920-2333

Practice Phone: 415-435-3161
Practice Fax:

1205091030 — DR. SEPIDEH G. KHOMJANI D.D.S.
Practice Location Address:

325 SAN RAFAEL AVE
BELVEDERE, CA
94920-2333

Practice Phone: 415-676-1093
Practice Fax:

Directions to “ DR. DORA KOROS GAVROS D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.