DR. Raven Elaine Yayah, DDS

NPI #1174288153 in O Fallon, Illinois

Provider Information

NPI Number: 1174288153
Entity Type: Individual
Name: DR. Raven Elaine Yayah, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS
Enumeration Date: Nov 3, 2021
Last Updated: Jul 16, 2024

Practice Location

Address: 4905 STONE FALLS CTR UNIT A
City: O Fallon
State: Illinois
ZIP Code: 62269-7802
Phone: (618) 622-3377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

Provider Name	Specialty	City
Kirk D. Satrom, DDS Ms PC	Dentist - Orthodontics and Dentofacial Orthopedics	O Fallon	AI Deep Dive

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