# DR. ROBERT B. YACKO D.D.S.; P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770949000
- **Authorized official:** DR. ROBERT B YACKO D.D.S. (DENTIST)
- **Authorized official phone:** (623) 878-3722

## Contact information

- **Practice address:** 6750 W PEORIA AVE STE 134, PEORIA, AZ 85345-9320
- **Practice address phone:** (623) 878-3722
- **Mailing address:** 6750 W PEORIA AVE STE 134, PEORIA, AZ 85345-9320
- **Mailing address phone:** (623) 878-3722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 945033 | — | AZ |