YASHAR FARAHVASH

SANTA CRUZ, CA
NPI1588063838
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  108596)
Additional Taxonomies122300000X Dentist
(Licence: MA  DN1856720)
Enumeration Date2014-08-21
Last Update Date2024-08-31
Business Address
YASHAR FARAHVASH
1500 CAPITOLA RD
SANTA CRUZ, CA 95062-2912
Phone number: 617-943-8873
Mailing Address
YASHAR FARAHVASH
1500 CAPITOLA RD
SANTA CRUZ, CA 95062-2912
Phone number:
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