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NPI Code Detail

MEDICARE: DR. ERIC YESHAGH SIANI DMD

MEDICARE:  DR. ERIC YESHAGH SIANI  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry034560CA

General Provider Information

NPI Number : 1780887901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC YESHAGH SIANI DMD
Provider Business Mailing Address
First Line : 2270 EAST PALMDALE BLVD
Second Line : SUITE E
City : PALMDALE
State : CA
Zip : 93550
Country : US
Telephone Number : 661-947-6782
Fax Number : 661-947-7184
Provider Business Practice Location Address
First Line : 2270 EAST PALMDALE BLVD
Second Line : SUITE E
City : PALMDALE
State : CA
Zip : 93550
Country : US
Telephone Number : 661-947-6782
Fax Number : 661-947-7184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC YESHAGH SIANI DMD” Practice Location

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