Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN23165 | FL |
NPI | 1013376318 |
---|---|
Provider Name | Yamila Garber |
First Address | Hollywood, FL 33021-6605 |
Second Address | Plantation, FL 33325-2813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2016 |
Last Update Date | 24/11/2020 |