Provider Demographics
NPI:1497240170
Name:ARONHIME, YAELLA LANDAU (DMD)
Entity Type:Individual
Prefix:
First Name:YAELLA
Middle Name:LANDAU
Last Name:ARONHIME
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 1:32 CONSHOHOCKEN STATE RD APT B3
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3318
Mailing Address - Country:US
Mailing Address - Phone:443-986-1109
Mailing Address - Fax:
Practice Address - Street 1:2 VILLAGE RD STE 9
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-3816
Practice Address - Country:US
Practice Address - Phone:215-657-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0420671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice