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Individual

DR. DOMINIC JACK ZAREBA I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5213
Mailing address
12 W ELIZABETH AVE, LINDEN, NJ 07036-7225
(908) 486-8400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02983600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/21/2023
Last updated
07/01/2024
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