IndividualActive
Ala Yassin
NPI 1841659372 · Periodontics · Tucker, GA
Provider details
- NPI number
- 1841659372
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DEN.00202746 (CO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4280 Lavista Rd
Tucker, GA 30084-5311
Phone: (786) 884-8116
Approximate (ZIP-level) locationGet directions
Mailing address
4280 Lavista Rd
Tucker, GA 30084-5311
Registry dates
- Enumerated
- 2016-02-11
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.