Provider Demographics
NPI:1730194218
Name:YUNEZ, SAMIRA A (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMIRA
Middle Name:A
Last Name:YUNEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 E BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5116
Mailing Address - Country:US
Mailing Address - Phone:630-833-3330
Mailing Address - Fax:630-833-3131
Practice Address - Street 1:237 E BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5116
Practice Address - Country:US
Practice Address - Phone:630-833-3330
Practice Address - Fax:630-833-3131
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0260441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice