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Organization

FARY YASSAMY, DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE MORAN (OFFICE MANAGER)
(626) 441-2231
Entity
Organization

Contact information

Practice address
825 HUNTINGTON DR, SAN MARINO, CA 91108-1824
(626) 441-2231
(626) 441-3024
Mailing address
825 HUNTINGTON DR, SAN MARINO, CA 91108-1824
(626) 441-2231
(626) 441-3024

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
47586
CA

Other

Enumeration date
11/30/2009
Last updated
11/30/2009
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