Provider Demographics
NPI:1235342627
Name:YESIN, SVETLANA SHTURMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SVETLANA
Middle Name:SHTURMAN
Last Name:YESIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 IRVING ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2402
Mailing Address - Country:US
Mailing Address - Phone:415-759-9330
Mailing Address - Fax:
Practice Address - Street 1:614 IRVING ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2402
Practice Address - Country:US
Practice Address - Phone:415-759-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA501961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice