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Individual

DR. ALI Y YAZBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D,

Contact information

Practice address
9350 S DIXIE HWY STE 920, MIAMI, FL 33156-2996
(305) 670-5100
Mailing address
9350 S DIXIE HWY STE 920, MIAMI, FL 33156-2996
(305) 670-5100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
11755248-9921
UT
122300000X
Dentist
Primary
DN21282
FL

Other

Enumeration date
06/22/2015
Last updated
09/11/2023
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