Individual
JESSICA NICOLE YEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY, ROOM 6A226, BROOKLYN, NY 11206-5317
(718) 963-5765
Mailing address
760 BROADWAY, ROOM 6A226, BROOKLYN, NY 11206-5317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060176-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2017
Last updated
06/12/2019
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