Most Relevant Information
Provider Data
| NPI Number: | 1003476565 |
| Provider Name: | ADAM YAZBACK DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2901600142 |
Most Important Dates
| Enumeration Date: | 06/17/2019 |
| Last Updated: | 07/23/2019 |
Provider Practice Location
22211 W WARREN ST
DEARBORN HEIGHTS
MI
481272597
Practice Location Phone/Fax
| Phone: | 3139823720 |
| Fax: |
Provider Mailing Location
4853 WESTLAND ST
DEARBORN
MI
481264112
Provider Mailing Phone/Fax
| Phone: | 3133995088 |
| Fax: |