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Organization
YACOUB INC
Active
Organization
YACOUB INC
Active
Other names
Whitehall Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYHAM YACOUB DMD (OWNER)
(610) 266-1101
Entity
Organization
Contact information
Practice address
2123 N 1ST AVE, SUITE A2, WHITEHALL, PA 18052-3956
(610) 266-1101
(610) 266-1170
Mailing address
2123 N 1ST AVE, SUITE A2, WHITEHALL, PA 18052-3956
(610) 266-1101
(610) 266-1170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891984258
—
PA
Enumeration date
01/11/2010
Last updated
01/11/2010
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