MEDICARE: YASLIN FILPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	402207174	VA

General Provider Information

NPI Number	:	1659837805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASLIN FILPO

Provider Business Mailing Address
First Line	:	1036 SHOAL CREEK TRL
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-9486
Country	:	US
Telephone Number	:	910-489-1001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1885 TERRIER AVE
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23461-2203
Country	:	US
Telephone Number	:	757-953-9322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	02/13/2019

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