Individual
SUSAN YASREBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3702 W SWANN AVE, TAMPA, FL 33609-4522
(813) 421-0002
Mailing address
3702 W SWANN AVE, TAMPA, FL 33609-4522
(813) 421-0002
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
055008-1
NY
1223E0200X
Endodontics
Primary
DN18458
FL
Other
Enumeration date
01/30/2010
Last updated
01/29/2026
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