Individual
FATBARDHA ALIAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3300 RYAN AVE, STE A, PHILADELPHIA, PA 19136-4320
(215) 333-2212
(215) 333-2240
Mailing address
1015 THRUSH LN, HUNTINGDON VALLEY, PA 19006-2027
(267) 671-7380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040405
PA
Other
Enumeration date
07/06/2015
Last updated
12/11/2015
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