Yassin, Ala

Yassin, Ala is an sole proprietor health care provider with primary practice located at 4280 Lavista Rd , Tucker GA 30084-5311. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Yassin, Ala can be contacted via phone (786) 884-8116.

Contact Information

Primary practice address
4280 Lavista Rd Tucker GA 30084-5311
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN.00202746 Colorado
Dental Providers / Periodontics 1223P0300X DN122214 Georgia

Profile Details

NPI number 1841659372
LBN Legal business name Yassin, Ala
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2016
Last updated Jan 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841659372 NPPES
Colorado MEDICAID 66286026

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