Provider Demographics
NPI:1952558975
Name:SEAN YAR, D.D.S., INC.
Entity type:Organization
Organization Name:SEAN YAR, D.D.S., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-682-5777
Mailing Address - Street 1:3355 IOWA AVE
Mailing Address - Street 2:SUITE # C
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-3690
Mailing Address - Country:US
Mailing Address - Phone:951-682-5777
Mailing Address - Fax:714-780-1332
Practice Address - Street 1:3355 IOWA AVE
Practice Address - Street 2:SUITE # C
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-3690
Practice Address - Country:US
Practice Address - Phone:951-682-5777
Practice Address - Fax:714-780-1332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA543971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty