Individual
BONNIE LEAH YELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
525 TOWNLINE RD, HAUPPAUGE, NY 11788-2829
(631) 265-3377
(631) 265-0120
Mailing address
525 TOWNLINE RD, HAUPPAUGE, NY 11788-2829
(631) 265-3377
(631) 265-0120
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039984-1
NY
Other
Enumeration date
11/08/2009
Last updated
11/08/2009
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