Dastmalchi, Yas

Dastmalchi, Yas is an sole proprietor health care provider with primary practice located at 3505 School St , Lafayette CA 94549-4505. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Dastmalchi, Yas can be contacted via phone (925) 299-0193.

Contact Information

Primary practice address
3505 School St Lafayette CA 94549-4505
Fax: (925) 299-0793
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 42462 California

Profile Details

NPI number 1063580702
LBN Legal business name Dastmalchi, Yas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063580702 NPPES
California Other 68039632 EIN

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