Provider Demographics
NPI:1851684153
Name:ESLAMI, YASHAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:YASHAR
Middle Name:
Last Name:ESLAMI
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 1:10311 S DE ANZA BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3028
Mailing Address - Country:US
Mailing Address - Phone:408-807-1258
Mailing Address - Fax:844-316-4400
Practice Address - Street 1:10311 S DE ANZA BLVD STE 6
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3028
Practice Address - Country:US
Practice Address - Phone:408-807-1258
Practice Address - Fax:844-316-4400
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA644901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics