| Mark S Yafai Dds Md Inc | |
|
12301 Wilshire Blvd Ste 301 Los Angeles CA 90025-1022 | |
| (310) 826-8222 | |
| (310) 826-4111 |
| Full Name | Mark S Yafai Dds Md Inc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 12301 Wilshire Blvd Ste 301, Los Angeles, California |
| Authorized Official Name and Position | Mark Shahram Yafai (OWNER) |
| Authorized Official Contact | 3108921969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Yafai Dds Md Inc 12301 Wilshire Blvd Ste 301 Los Angeles CA 90025-1022 Ph: (310) 826-8222 | Mark S Yafai Dds Md Inc 12301 Wilshire Blvd Ste 301 Los Angeles CA 90025-1022 Ph: (310) 826-8222 |
| NPI Number | 1598056624 |
|---|---|
| Provider Enumeration Date | 04/23/2011 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598056624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 50117 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | A104572 (California) | Primary |
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