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
Phone: (925) 299-0193
Fax: (925) 299-0793
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063580702 | NPPES |
| California | Other | 68039632 | EIN |
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