Provider Demographics
NPI:1689063133
Name:CHARDON, YOHAYRA ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:YOHAYRA
Middle Name:ELIZABETH
Last Name:CHARDON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9211 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3225
Mailing Address - Country:US
Mailing Address - Phone:305-361-1192
Mailing Address - Fax:
Practice Address - Street 1:9211 SUNSET DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3225
Practice Address - Country:US
Practice Address - Phone:305-361-1192
Practice Address - Fax:305-598-3675
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN242371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry