Provider Demographics
NPI:1619599529
Name:FARAH YASMEEN DDS INC.
Entity Type:Organization
Organization Name:FARAH YASMEEN DDS INC.
Other - Org Name:US DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:YASMEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-333-3534
Mailing Address - Street 1:2420 DEL PASO RD STE 125
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-9678
Mailing Address - Country:US
Mailing Address - Phone:916-333-3534
Mailing Address - Fax:916-333-3991
Practice Address - Street 1:2420 DEL PASO RD STE 125
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-9678
Practice Address - Country:US
Practice Address - Phone:916-333-3534
Practice Address - Fax:916-333-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1639522428OtherPERSONAL NPI