Organization
IMAD S ABRAHAM DDS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAD ABRAHAM DDS (DENTIST/OWNER)
(610) 434-3310
Entity
Organization
Contact information
Practice address
1111 N 19TH ST, ALLENTOWN, PA 18104-3001
(610) 434-3310
(610) 434-4270
Mailing address
1111 N 19TH ST, ALLENTOWN, PA 18104-3001
(610) 434-4270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028661L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014354230004
—
PA
05
—
1024056910001
—
PA
Enumeration date
03/08/2011
Last updated
12/05/2018
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