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Organization
TARIK JBARAH DMD LLC
Active
Organization
TARIK JBARAH DMD LLC
Active
Parent organization
TARIK JBARAH DMD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TARIK JBARAH DMD LLC
Authorized official
ANDI LEAS (FRONT OFFICE)
(717) 632-8571
Entity
Organization
Contact information
Practice address
250 FAME AVE, SUITE #206, HANOVER, PA 17331-1587
(717) 637-0202
Mailing address
250 FAME AVE, SUITE #206, HANOVER, PA 17331-1587
(717) 637-0202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS036611
PA
Other
Enumeration date
09/01/2015
Last updated
01/13/2016
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