Individual
DEBBIE AMY YASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5404 CORTEZ RD W, BRADENTON, FL 34210-2815
(941) 792-3321
(941) 792-4031
Mailing address
PO BOX 14460, BRADENTON, FL 34280-4460
(941) 792-3321
(941) 792-4031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0012987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36450
BLUE CROSS BLUE SHIELD
FL
01
—
603501
UNITED CONCORDIA
FL
Enumeration date
10/26/2006
Last updated
07/08/2007
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