Individual
PETER YACOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 CROWN AVE, LANCASTER, PA 17601-6322
(717) 481-7645
Mailing address
49 LINDEN AVE, BELLEVILLE, NJ 07109-2719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS046036
PA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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