Yasrebi, Shirin
Yasrebi, Shirin is an individual health care provider with primary practice located at 2015 E Edgewood Dr , Lakeland FL 33803. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Yasrebi, Shirin can be contacted via phone (863) 667-9000.Contact Information
Primary practice address
2015 E Edgewood Dr
Lakeland FL 33803
Phone: (863) 667-9000
Fax: (863) 665-4368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | CO12434 | Florida |
Profile Details
| NPI number | 1821006800 |
|---|---|
| LBN Legal business name | Yasrebi, Shirin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1821006800 | NPPES |
| Florida | Other | 732758 | UNITED CONCORDIA |
| Florida | Other | 69205 | UNITED CONCORDIA |
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