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Organization

TARIK JBARAH DMD LLC

Active
Parent organization
TARIK JBARAH DMD LLC
Other names
Dr. Zeiders and Dr. Angotti
Organization subpart
Yes

Provider details

NPI number
Legal business name
TARIK JBARAH DMD LLC
Authorized official
ANDI LEAS (OFFICE STAFF)
(717) 632-8571
Entity
Organization

Contact information

Practice address
245 BALTIMORE ST, SUITE #2, HANOVER, PA 17331-3260
(717) 632-0877
Mailing address
245 BALTIMORE ST, SUITE #2, HANOVER, PA 17331-3260
(717) 632-0877

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS040588
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DS040588
DENTAL LICENSE
PA
Enumeration date
08/26/2015
Last updated
08/26/2015
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