Organization
SHERVIN YAZDI DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERVIN KHOSHNEVIS YAZDI DDS (OWNER)
(510) 538-2098
Entity
Organization
Contact information
Practice address
20700 LAKE CHABOT RD, SUITE 205, CASTRO VALLEY, CA 94546-5401
(510) 538-2098
Mailing address
20700 LAKE CHABOT RD, SUITE 205, CASTRO VALLEY, CA 94546-5401
(510) 538-2098
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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