Organization
ABOLARIN LLC
Active
Other names
Alpha Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW O ABOLARIN D.D.S (DENTAL DIRECTOR)
(215) 613-5808
Entity
Organization
Contact information
Practice address
6404 ROOSEVELT BLVD, 2ND FLOOR, PHILADELPHIA, PA 19149-2943
(215) 831-1023
(215) 831-1129
Mailing address
7439 FRANKFORD AVE, 2ND FLOOR, PHILADELPHIA, PA 19136-3600
(215) 613-5808
(215) 613-5818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037319
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102051413
—
PA
01
—
9183726
DORAL
PA
Enumeration date
03/20/2008
Last updated
07/23/2012
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