Individual
DR. JAHI B MTAALAMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
555 S 43RD ST, HEALTH CENTER #3, PHILADELPHIA, PA 19104-4408
(215) 685-7522
(215) 685-7551
Mailing address
500 S BROAD ST, DENTAL SUITE, PHILADELPHIA, PA 19146-1613
(215) 685-6768
(215) 685-6891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023071L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT173089
1
PA
Enumeration date
08/22/2006
Last updated
07/08/2007
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