Yanisa Alexandra Stuart Salas

NPI #1316647100 in Moody Afb, Georgia

Provider Information

NPI Number
1316647100
Entity Type
Individual
Name
Yanisa Alexandra Stuart Salas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 9, 2023
Last Updated
Aug 13, 2024

Practice Location

Address
3280 MITCHELL BLVD
State
Georgia
ZIP Code
31699-1500
Phone
(229) 257-2778

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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