Organization
YASSAMIN DOROSTI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASSAMIN DOROSTI DDS (OWNER)
(740) 452-3697
Entity
Organization
Contact information
Practice address
2695 MAYSVILLE AVE, ZANESVILLE, OH 43701
(740) 452-3697
(740) 452-9211
Mailing address
2695 MAYSVILLE AVE, ZANESVILLE, OH 43701
(740) 452-3697
(740) 452-9211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2682075
—
OH
Enumeration date
07/02/2008
Last updated
07/02/2008
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