Individual
DR. TAYSEER ALBUSTAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 W CENTRAL AVE, PAOLI, PA 19301-1714
(215) 359-5403
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 359-5403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044365
PA
Other
Enumeration date
01/03/2024
Last updated
01/05/2024
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