| Tarik Jbarah | |
|
138 Broadway Hanover PA 17331-2500 | |
| (717) 632-8571 | |
| (717) 632-6466 |
| Full Name | Tarik Jbarah |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 138 Broadway, Hanover, Pennsylvania |
| Authorized Official Name and Position | Tarik W Jbarah (OWNER) |
| Authorized Official Contact | 7176328571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarik Jbarah 138 Broadway Hanover PA 17331-2500 Ph: (717) 632-8571 | Tarik Jbarah 138 Broadway Hanover PA 17331-2500 Ph: (717) 632-8571 |
| NPI Number | 1770966806 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770966806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS036611 (Pennsylvania) | Primary |
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