Jonathan Abaev, DDS Valid NPI
Individual provider · Dentist · Philadelphia, PA
- NPI
- 1427724624
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DS044036 (PA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-08-18
- Last updated
- 2023-05-10
Practice location
909 Walnut St Fl 3
Philadelphia, PA 19107-5211
(215) 955-6215