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NPI Code Detail

MEDICARE: DR. IDAN SHMUEL YONA DMD

MEDICARE:  DR. IDAN SHMUEL YONA  DMD
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
1122300000XDentist22DI02914800NJ

General Provider Information

NPI Number : 1255064671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IDAN SHMUEL YONA DMD
Provider Business Mailing Address
First Line : 5030 WELLINGTON AVE
Second Line :
City : VENTNOR CITY
State : NJ
Zip : 08406-1443
Country : US
Telephone Number : 609-783-9933
Fax Number :
Provider Business Practice Location Address
First Line : 5030 WELLINGTON AVE
Second Line :
City : VENTNOR CITY
State : NJ
Zip : 08406-1443
Country : US
Telephone Number : 609-783-9933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2022
Last Update Date : 07/04/2022

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Directions to “ DR. IDAN SHMUEL YONA DMD” Practice Location

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