| Michael Taras D.m.d, L.l.c | |
|
2900 Hamilton Blvd Allentown PA 18103-2840 | |
| (610) 432-1320 | |
| (610) 432-0148 |
| Full Name | Michael Taras D.m.d, L.l.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2900 Hamilton Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Michael Stanley Taras (OWNER/DENTIST) |
| Authorized Official Contact | 6104321320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Taras D.m.d, L.l.c 2900 Hamilton Blvd Allentown PA 18103-2840 Ph: (610) 432-1320 | Michael Taras D.m.d, L.l.c 2900 Hamilton Blvd Allentown PA 18103-2840 Ph: (610) 432-1320 |
| NPI Number | 1457523417 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457523417 | NPI | - | NPPES |
| 1012340430001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS028211L (Pennsylvania) | Primary |
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