| Imad S Abraham Dds Family Dentistry | |
|
1111 N 19th St Allentown PA 18104-3001 | |
| (610) 434-3310 | |
| (610) 434-4270 |
| Full Name | Imad S Abraham Dds Family Dentistry |
|---|---|
| Speciality | Dentist |
| 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 |
|---|---|
| Imad S Abraham Dds Family Dentistry 1111 N 19th St Allentown PA 18104-3001 Ph: () - | Imad S Abraham Dds Family Dentistry 1111 N 19th St Allentown PA 18104-3001 Ph: (610) 434-3310 |
| NPI Number | 1043518574 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 12/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043518574 | NPI | - | NPPES |
| 1024056910001 | Medicaid | PA | |
| 0014354230004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS028661L (Pennsylvania) | Primary |
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