| Family Dentistry | |
|
1111 N 19th St Allentown PA 18104-3001 | |
| (610) 434-3310 | |
| (610) 434-4270 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1111 N 19th St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Imad Abraham (DENTIST/OWNER) |
| Authorized Official Contact | 6104343310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 1111 N 19th St Allentown PA 18104-3001 Ph: (610) 434-3310 | Family Dentistry 1111 N 19th St Allentown PA 18104-3001 Ph: (610) 434-3310 |
| NPI Number | 1144497751 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 12/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144497751 | NPI | - | NPPES |
| 1063583672 | Medicaid | PA | |
| 1891984258 | Medicaid | PA | |
| 1285622415 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS028661L (Pennsylvania) | Primary |
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