Provider Demographics
NPI:1255184404
Name:PILA, YENLY (DMD)
Entity type:Individual
Prefix:
First Name:YENLY
Middle Name:
Last Name:PILA
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 1:9730 HAZEL FERN CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5395
Mailing Address - Country:US
Mailing Address - Phone:305-431-9120
Mailing Address - Fax:305-431-9120
Practice Address - Street 1:2525 SOUTHMORE AVE # 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1451
Practice Address - Country:US
Practice Address - Phone:713-434-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX406411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty