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Organization
DR SULLIVAN DR YASNER DR KAZEMI LLC
Active
Organization
DR SULLIVAN DR YASNER DR KAZEMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL YASNER DMD (PARTNER)
(856) 795-8020
Entity
Organization
Contact information
Practice address
1416 BRACE ROAD, CHERRY HILL, NJ 08034-3523
(856) 795-8020
(856) 795-9785
Mailing address
1416 BRACE ROAD, CHERRY HILL, NJ 08034-3523
(856) 795-8020
(856) 795-9785
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11133
DELTA DENTAL
NJ
05
—
3399001
—
NJ
01
—
567
UNITED CONCORDIA
PA
Enumeration date
12/27/2006
Last updated
08/22/2020
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