Provider Demographics
NPI:1538249644
Name:YATROFSKY, STEVEN DOUGLAS (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:YATROFSKY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:7641 N MANSIONETTE DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3618
Mailing Address - Country:US
Mailing Address - Phone:559-323-6599
Mailing Address - Fax:559-432-1721
Practice Address - Street 1:6256 N 1ST ST STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5451
Practice Address - Country:US
Practice Address - Phone:559-432-1833
Practice Address - Fax:559-432-1721
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA288351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics