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NPI Code Detail

MEDICARE: DR. YANA V GERHARDT DMD

MEDICARE:  DR. YANA V GERHARDT  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
1122300000XDentistD010464AZ

General Provider Information

NPI Number : 1457906919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YANA V GERHARDT DMD
Provider Business Mailing Address
First Line : 1822 S 39TH ST UNIT 35
Second Line :
City : MESA
State : AZ
Zip : 85206-3828
Country : US
Telephone Number : 415-235-0816
Fax Number :
Provider Business Practice Location Address
First Line : 1822 S 39TH ST UNIT 35
Second Line :
City : MESA
State : AZ
Zip : 85206-3828
Country : US
Telephone Number : 415-235-0816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 08/01/2019

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Directions to “ DR. YANA V GERHARDT DMD” Practice Location

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