NPI 1487390167 · live from the CMS NPI Registry
Yara Abdelaziz, DMD
Dentist in Gibsonton, FL. National Provider Identifier 1487390167, active.
NPI record
| NPI | 1487390167 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 13127 Kings Lake Dr Unit 101, Gibsonton, FL 33534 |
| Practice phone | 813-677-3047 |
| Mailing address | 2428 Casona Ln Apt 6307, Melbourne, FL 32940 |
| Enumerated | May 6, 2022 |
| Last updated | August 2, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 27710 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.