Provider Demographics
NPI:1316234842
Name:SARIASLANI, YASAMIN (DDS)
Entity type:Individual
Prefix:DR
First Name:YASAMIN
Middle Name:
Last Name:SARIASLANI
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 1:11299 SAN PABLO AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-2184
Mailing Address - Country:US
Mailing Address - Phone:415-430-7383
Mailing Address - Fax:
Practice Address - Street 1:4100 MONTGOMERY DR
Practice Address - Street 2:STE. A
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-5282
Practice Address - Country:US
Practice Address - Phone:707-537-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60466122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist