Provider Demographics
NPI:1427113927
Name:JABER, YAHYA SULIEMAN (DDS)
Entity type:Individual
Prefix:MR
First Name:YAHYA
Middle Name:SULIEMAN
Last Name:JABER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12190 PERRIS BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557
Mailing Address - Country:US
Mailing Address - Phone:951-486-0550
Mailing Address - Fax:951-486-0566
Practice Address - Street 1:12190 PERRIS BLVD
Practice Address - Street 2:STE D
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557
Practice Address - Country:US
Practice Address - Phone:951-486-0550
Practice Address - Fax:951-486-0566
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44189122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist