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Individual
DR. MARK SHAHRAM YAFAI
Active
Individual
DR. MARK SHAHRAM YAFAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50117
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
50117
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A104572
CA
Other
Enumeration date
03/05/2007
Last updated
01/18/2011
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