Provider Demographics
NPI:1447380308
Name:YAZJI, MARIA EUGENIA (DDS MS)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:EUGENIA
Last Name:YAZJI
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3640
Mailing Address - Country:US
Mailing Address - Phone:305-227-9927
Mailing Address - Fax:305-227-9921
Practice Address - Street 1:3811 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3640
Practice Address - Country:US
Practice Address - Phone:305-227-9927
Practice Address - Fax:305-227-9921
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL141391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics