Provider Demographics
NPI:1538392881
Name:ZAVERY, PURVI KACHALIA (DDS)
Entity type:Individual
Prefix:
First Name:PURVI
Middle Name:KACHALIA
Last Name:ZAVERY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CADIZ CIR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1332
Mailing Address - Country:US
Mailing Address - Phone:650-740-5277
Mailing Address - Fax:
Practice Address - Street 1:1390 EL CAMINO REAL
Practice Address - Street 2:SUITE 150
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-5146
Practice Address - Country:US
Practice Address - Phone:650-740-5277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA489271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry