Organization
JA ALBA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A ALBA DMD, MS (ORTHODONTIST/OWNER)
(717) 697-6393
Entity
Organization
Contact information
Practice address
116 CUMBERLAND PKWY, MECHANICSBURG, PA 17055-5667
(717) 697-6393
Mailing address
116 CUMBERLAND PKWY, MECHANICSBURG, PA 17055-5667
(717) 697-6393
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396221784
NPE
—
Enumeration date
01/28/2021
Last updated
01/28/2021
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