Individual
MRS. LINDA ADIJATU JUBIRIL-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2520 SNYDER AVE, PHILADELPHIA, PA 19145-3101
(215) 755-6866
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036928
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018098020001
—
PA
01
—
401786
UCCI
PA
Enumeration date
03/09/2007
Last updated
07/08/2016
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