Cardona-Rohena, Yadira
Cardona-Rohena, Yadira is an sole proprietor health care provider with primary practice located at 4285 Jim Moore Rd Bldg 100, Suite 104, Dacula GA 30019-1609. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Cardona-Rohena, Yadira can be contacted via phone (678) 835-1135.Contact Information
Primary practice address
4285 Jim Moore Rd Bldg 100, Suite 104
Dacula GA 30019-1609
Phone: (678) 835-1135
Fax: (678) 835-1136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2630 | Puerto Rico |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 051734-1 | New York |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN013477 | Georgia |
Profile Details
| NPI number | 1790834083 |
|---|---|
| LBN Legal business name | Cardona-Rohena, Yadira |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jun 27th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790834083 | NPPES |
| Georgia | MEDICAID | 632481454N |
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