| NPI | 1376146399 |
|---|---|
| Former Legal Business Name | ABOVE & BEYOND FAMILY DENTISTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | TARIK W JBARAH Owner 215-820-7113 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |