Individual
ELIZABETH YUABOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
98-30 67 AVENUE, SUITE DD, REGO PARK, NY 11367
(718) 459-1040
(718) 459-0997
Mailing address
98-30 67 AVENUE, SUITE DD, REGO PARK, NY 11367
(718) 459-1040
(718) 459-0997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044984-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477307
—
NY
Enumeration date
04/30/2008
Last updated
04/30/2008
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