Whitehall Dental Assoc

NPI #1639168701 in Whitehall, Pennsylvania

Provider Information

NPI Number: 1639168701
Entity Type: Organization
Organization Name: Whitehall Dental Assoc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 20, 2005
Last Updated: Mar 21, 2018

Practice Location

Address: 450 PERSHING BLVD
City: Whitehall
State: Pennsylvania
ZIP Code: 18052-6452
Phone: (610) 434-6796

Authorized Official

Name: DR. NIDAL YACOUB, DMD, MDS
Title: OWNER/DENTIST
Phone: (610) 360-9625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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