| NPI | 1851929707 |
|---|---|
| Former Legal Business Name | M YAVARI DDS PC |
| Entity Type | Organization |
| Authorized Contact | MANSOUREH YAVARI Tin Owner 619-552-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |