Individual
DR. YAS DASTMALCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3505 SCHOOL ST, LAFAYETTE, CA 94549-4505
(925) 299-0193
(925) 299-0793
Mailing address
3505 SCHOOL ST, LAFAYETTE, CA 94549-4505
(925) 299-0193
(925) 299-0793
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
42462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68039632
EIN
CA
Enumeration date
12/01/2006
Last updated
07/08/2007
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