Individual
OLIVIA YANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
664 BROADWAY, BAYONNE, NJ 07002-4726
(201) 823-2062
Mailing address
664 BROADWAY, BAYONNE, NJ 07002-4726
(201) 823-2062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02492200
NJ
Other
Enumeration date
03/14/2012
Last updated
03/22/2013
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