NPI 1073406807

Dounia Mariam Yazji

Practitioner General Practice Dentistry Port Saint Lucie, FL

Practice location

Address: 10430 SW Village Center Dr, Port Saint Lucie, FL 34987-2186
Phone: (772) 348-0715

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN30297 (FL)

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Registry record

NPI: 1073406807
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2025
Record last updated: 30 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.