# IMAD S ABRAHAM DDS FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144497751
- **Authorized official:** IMAD ABRAHAM DDS (DENTIST/OWNER)
- **Authorized official phone:** (610) 434-3310

## Contact information

- **Practice address:** 1111 N 19TH ST, ALLENTOWN, PA 18104-3001
- **Practice address phone:** (610) 434-3310
- **Practice address fax:** (610) 434-4270
- **Mailing address:** 1111 N 19TH ST, ALLENTOWN, PA 18104-3001
- **Mailing address phone:** (610) 434-3310
- **Mailing address fax:** (610) 434-4270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS028661L | PA | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 12/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1063583672 | — | PA |
| 05 | — | 1285622415 | — | PA |
| 05 | — | 1891984258 | — | PA |