Provider Demographics
NPI:1013376318
Name:GARBER, YAMILA (DMD)
Entity Type:Individual
Prefix:
First Name:YAMILA
Middle Name:
Last Name:GARBER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6605
Mailing Address - Country:US
Mailing Address - Phone:786-877-6527
Mailing Address - Fax:
Practice Address - Street 1:12331 SW 3RD ST STE 500
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33325-2813
Practice Address - Country:US
Practice Address - Phone:954-417-1331
Practice Address - Fax:954-566-7111
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-15
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN231651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty