Provider Demographics
NPI:1528211299
Name:YASAMAN SANI, DDS INC.
Entity Type:Organization
Organization Name:YASAMAN SANI, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASAMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-588-4294
Mailing Address - Street 1:1270 E. LELAND RD.
Mailing Address - Street 2:STE. 101
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565
Mailing Address - Country:US
Mailing Address - Phone:925-427-0123
Mailing Address - Fax:925-252-0566
Practice Address - Street 1:1270 E. LELAND RD.
Practice Address - Street 2:SUITE 101
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565
Practice Address - Country:US
Practice Address - Phone:925-427-0123
Practice Address - Fax:925-252-0566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty