# RABIA YILAN DDS P.C.

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

## Provider details

- **NPI number:** 1942876230
- **Authorized official:** DR. RABIA O YILAN DDS (PRESIDENT)
- **Authorized official phone:** (631) 569-6707

## Contact information

- **Practice address:** 380 N BROADWAY STE 301, JERICHO, NY 11753-2109
- **Practice address phone:** (631) 822-5757
- **Practice address fax:** (631) 822-0026
- **Mailing address:** 22 LAVENDER LN, HOLTSVILLE, NY 11742-2559
- **Mailing address phone:** (631) 569-6707
- **Mailing address fax:** (631) 822-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2021
- **Last updated:** 05/27/2021