Provider Demographics
NPI:1952778425
Name:FELIX, NEBYAT YONAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEBYAT
Middle Name:YONAS
Last Name:FELIX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:NEBYAT
Other - Middle Name:
Other - Last Name:YONAS ARBIZU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 DUKE OF WINDSOR CT
Mailing Address - Street 2:203
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-5351
Mailing Address - Country:US
Mailing Address - Phone:443-537-0120
Mailing Address - Fax:
Practice Address - Street 1:1900 N BROADWAY STE 102
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1437
Practice Address - Country:US
Practice Address - Phone:443-957-1602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist