Individual
DR. CHARLES PETER YEZBAK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
625 CHERRY TREE LN, UNIONTOWN, PA 15401-8419
(724) 439-1170
Mailing address
73 BROWNFIELD LN, UNIONTOWN, PA 15401-5251
(724) 439-8240
(724) 439-8240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS016881L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS016881L
DENTIST
PA
Enumeration date
12/22/2006
Last updated
07/08/2007
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