Individual
JODIE BARASATIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
310 N LANCASTER ST, JONESTOWN, PA 17038-8909
(717) 865-5211
Mailing address
3510 SCOTTS LN APT 3143, PHILADELPHIA, PA 19129-1691
(215) 391-6287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042812
PA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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