Provider Demographics
NPI:1962110213
Name:YAHAV, ARIELLA MICHAL (DDS)
Entity type:Individual
Prefix:DR
First Name:ARIELLA
Middle Name:MICHAL
Last Name:YAHAV
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ARIELLA
Other - Middle Name:MICHAL
Other - Last Name:BANBAHJI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:810 QUENTIN RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2242
Mailing Address - Country:US
Mailing Address - Phone:847-833-3743
Mailing Address - Fax:
Practice Address - Street 1:810 QUENTIN RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2242
Practice Address - Country:US
Practice Address - Phone:847-833-3743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029392001223G0001X
NY064481122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice