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Shirin Yasrebi, DDS
Pediatric Dentist in Lakeland, Florida
NPI 1821006800

Shirin Yasrebi is a Pediatric Dentist based in Lakeland, FL and is specialized in Pediatric Dentistry. Shirin Yasrebi practices in Lakeland, FL and has the professional credentials of DDS. The NPI Number for Shirin Yasrebi is 1821006800 and holds a License No. CO12434 (Florida).

The current practice location address for Shirin Yasrebi is 2015 E Edgewood Dr, Lakeland, FL and can be reached out via phone at 863-667-9000 and via fax at 863-665-4368.

Location: 2015 E Edgewood Dr, Lakeland, FL, 33803
person
Provider Profile Details
NPI Number
1821006800
Provider Name
Shirin Yasrebi
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2015 E Edgewood Dr, Lakeland, FL, 33803
Phone Number
863-667-9000
Fax Number
863-665-4368
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
732758 01 FL UNITED CONCORDIA
69205 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2015 E Edgewood Dr
City
State
Zip
33803
Phone Number
863-667-9000
Fax Number
863-665-4368
person
Provider Business Mailing Address Details
Address
2015 E Edgewood Dr
City
State
Zip
33803
Phone Number
863-667-9000
Fax Number
863-665-4368
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
CO12434 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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