Provider Demographics
NPI:1871170506
Name:YELENA PRATO-GUIA, DMD, INC
Entity type:Organization
Organization Name:YELENA PRATO-GUIA, DMD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:JOSEFINA
Authorized Official - Last Name:PRATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-384-7505
Mailing Address - Street 1:17130 ROYAL PALM BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2311
Mailing Address - Country:US
Mailing Address - Phone:954-384-7505
Mailing Address - Fax:954-384-2465
Practice Address - Street 1:17130 ROYAL PALM BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-2311
Practice Address - Country:US
Practice Address - Phone:954-384-7505
Practice Address - Fax:954-384-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-27
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty