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Organization
YABAR AND RIVAS DENTAL CORPORATION
Active
Organization
YABAR AND RIVAS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILMER YABAR D.D.S (PRESIDENT)
(949) 855-9212
Entity
Organization
Contact information
Practice address
23823 EL TORO RD, SUITE E122, LAKE FOREST, CA 92630-4743
(949) 855-9212
(949) 855-9272
Mailing address
23823 EL TORO RD, SUITE E122, LAKE FOREST, CA 92630-4743
(949) 855-9212
(949) 855-9272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92050
DENTI-CAL
CA
Enumeration date
05/04/2011
Last updated
05/04/2011
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