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Rafik Yanni DDS A Professional Corporation

Clinic/Center, Dental in West Covina, CA. Organization (NPI-2).

NPI number1760623912
StatusActive
Last updated in NPPESDec 23, 2019

Details

NPI
1760623912
Entity type
Organization (NPI-2)
Legal business name
Rafik Yanni DDS A Professional Corporation
Organization subpart
No
Enumeration date
Mar 18, 2009
Certification date
Dec 23, 2019
Last updated
Dec 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental33004CAYes

Practice location

2413 S Azusa Ave
West Covina, CA 91792-1536

Phone 626-913-1421

Mailing address

2413 S Azusa Ave
West Covina, CA 91792-1536

Phone 626-913-1421

Authorized official

Rafik Yanni
President
6269131421

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