Organization
MARK S YAFAI DDS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SHAHRAM YAFAI DDS., MD (OWNER)
(310) 892-1969
Entity
Organization
Contact information
Practice address
12301 WILSHIRE BLVD STE 301, LOS ANGELES, CA 90025-1022
(310) 826-8222
(310) 826-4111
Mailing address
12301 WILSHIRE BLVD STE 301, LOS ANGELES, CA 90025-1022
(310) 826-8222
(310) 826-4111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50117
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A104572
CA
Other
Enumeration date
04/23/2011
Last updated
06/20/2016
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