Provider Demographics
NPI:1275833386
Name:YAHOODAIN, VAHID (DDS)
Entity Type:Individual
Prefix:DR
First Name:VAHID
Middle Name:
Last Name:YAHOODAIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 W WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4709
Mailing Address - Country:US
Mailing Address - Phone:323-278-0170
Mailing Address - Fax:323-767-0008
Practice Address - Street 1:711 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4709
Practice Address - Country:US
Practice Address - Phone:323-278-0170
Practice Address - Fax:323-767-0008
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100012122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist