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NPI Code Detail

MEDICARE: DR. MONICA YVETTE YAVROM D.D.S.

MEDICARE: DR. MONICA YVETTE YAVROM D.D.S.
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
11223G0001XGeneral Practice Dentistry0401413157VA

General Provider Information

NPI Number : 1437440641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA YVETTE YAVROM D.D.S.
Provider Business Mailing Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1425
Fax Number : 703-979-1436
Provider Business Practice Location Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1425
Fax Number : 703-979-1436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2011
Last Update Date : 06/17/2015

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