Provider Demographics
NPI:1386681831
Name:YEBRI, ROYA SHAYANI (DDS)
Entity type:Individual
Prefix:
First Name:ROYA
Middle Name:SHAYANI
Last Name:YEBRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ROYA
Other - Middle Name:
Other - Last Name:SHAYANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:601 N HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-428-2426
Mailing Address - Fax:310-276-8667
Practice Address - Street 1:3464 E GAGE AVENUE
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201
Practice Address - Country:US
Practice Address - Phone:323-582-2292
Practice Address - Fax:323-582-8919
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB34419122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist