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Organization
S YASHARI DDS INC
Active
Organization
S YASHARI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEIL SHAWN YASHARI DDS (PRESIDENT)
(310) 770-8074
Entity
Organization
Contact information
Practice address
13109 HAWTHORNE BLVD, HAWTHORNE, CA 90250-4416
(310) 973-2600
Mailing address
10417 LOUISIANA AVE APT 303, LOS ANGELES, CA 90025-6069
(310) 770-8074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57255
CA
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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