Provider Demographics
NPI:1336151877
Name:BERDAN, YAARA YARON (DDS)
Entity Type:Individual
Prefix:DR
First Name:YAARA
Middle Name:YARON
Last Name:BERDAN
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 1:4320 PARK FORTUNA
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1713
Mailing Address - Country:US
Mailing Address - Phone:818-224-3662
Mailing Address - Fax:
Practice Address - Street 1:5525 ETIWANDA AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3647
Practice Address - Country:US
Practice Address - Phone:818-881-3802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA421021223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics