Organization
MICHAEL TARAS D.M.D, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STANLEY TARAS D.M.D (OWNER/DENTIST)
(610) 432-1320
Entity
Organization
Contact information
Practice address
2900 HAMILTON BLVD, ALLENTOWN, PA 18103-2840
(610) 432-1320
(610) 432-0148
Mailing address
2900 HAMILTON BLVD, ALLENTOWN, PA 18103-2840
(610) 432-1320
(610) 432-0148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028211L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012340430001
—
PA
Enumeration date
03/31/2008
Last updated
03/31/2008
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