| Cobblestone Kids Pediatric Dentistry | |
|
1352 South St C5 Philadelphia PA 19147-1858 | |
| (215) 913-3615 | |
| Not Available |
| Full Name | Cobblestone Kids Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1352 South St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | George Thomas Lynch (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2159133615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobblestone Kids Pediatric Dentistry 1101 Washington Ave Villa 1 Philadelphia PA 19147-3839 Ph: (215) 913-3615 | Cobblestone Kids Pediatric Dentistry 1352 South St C5 Philadelphia PA 19147-1858 Ph: (215) 913-3615 |
| NPI Number | 1093015406 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 11/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093015406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS036787 (Pennsylvania) | Primary |
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