Abolarin LLC
Dentist, General Practice in Philadelphia, PA. Organization (NPI-2).
NPI number1104097872
StatusActive
Last updated in NPPESJul 23, 2012
Details
- NPI
- 1104097872
- Entity type
- Organization (NPI-2)
- Legal business name
- Abolarin LLC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2008
- Last updated
- Jul 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | ds037319 | PA | Yes |
Other names
- Alpha Dental Care (Doing Business As)
Practice location
6404 Roosevelt Blvd2nd Floor
Philadelphia, PA 19149-2943
Phone 215-831-1023 · Fax 215-831-1129
Mailing address
7439 Frankford Ave2nd Floor
Philadelphia, PA 19136-3600
Phone 215-613-5808 · Fax 215-613-5818
Authorized official
Andrew O Abolarin
Dental Director
2156135808
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