S Yashari Dds Inc | |
13109 Hawthorne Blvd Hawthorne CA 90250-4416 | |
(310) 973-2600 | |
Not Available |
Full Name | S Yashari Dds Inc |
---|---|
Speciality | Dentist |
Location | 13109 Hawthorne Blvd, Hawthorne, California |
Authorized Official Name and Position | Soheil Shawn Yashari (PRESIDENT) |
Authorized Official Contact | 3107708074 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S Yashari Dds Inc 10417 Louisiana Ave Apt 303 Los Angeles CA 90025-6069 Ph: (310) 770-8074 | S Yashari Dds Inc 13109 Hawthorne Blvd Hawthorne CA 90250-4416 Ph: (310) 973-2600 |
NPI Number | 1174953517 |
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Provider Enumeration Date | 11/21/2013 |
Last Update Date | 11/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174953517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 57255 (California) | Primary |
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