# ABOLARIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpha Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104097872
- **Authorized official:** DR. ANDREW O ABOLARIN D.D.S (DENTAL DIRECTOR)
- **Authorized official phone:** (215) 613-5808

## Contact information

- **Practice address:** 6404 ROOSEVELT BLVD, 2ND FLOOR, PHILADELPHIA, PA 19149-2943
- **Practice address phone:** (215) 831-1023
- **Practice address fax:** (215) 831-1129
- **Mailing address:** 7439 FRANKFORD AVE, 2ND FLOOR, PHILADELPHIA, PA 19136-3600
- **Mailing address phone:** (215) 613-5808
- **Mailing address fax:** (215) 613-5818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS037319 | PA | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 07/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102051413 | — | PA |
| 01 | — | 9183726 | DORAL | PA |