Provider Demographics
NPI:1497169718
Name:YABER, MARILYN SAMPEDRO (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:SAMPEDRO
Last Name:YABER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:SAMPEDRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:500 GYPSY LN
Mailing Address - Street 2:3RD FLOOR, DENTAL CLINIC
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1315
Mailing Address - Country:US
Mailing Address - Phone:330-884-3058
Mailing Address - Fax:330-884-5788
Practice Address - Street 1:500 GYPSY LN
Practice Address - Street 2:3RD FLOOR, DENTAL CLINIC
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1315
Practice Address - Country:US
Practice Address - Phone:330-884-3058
Practice Address - Fax:330-884-5788
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.3454122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist