| NPI | 1033761390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIK W JBARAH Owner 215-820-7113 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2025-03-26 |