| Temple University Kornberg School Of Dentisyry | |
|
3223 N Broad St Philadelphia PA 19140-5007 | |
| (215) 707-2895 | |
| Not Available |
| Full Name | Temple University Kornberg School Of Dentisyry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3223 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | John Friel (CLINIC LEADER) |
| Authorized Official Contact | 2154995770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple University Kornberg School Of Dentisyry 505 S 10th St Unit J Philadelphia PA 19147-1252 Ph: (215) 629-9755 | Temple University Kornberg School Of Dentisyry 3223 N Broad St Philadelphia PA 19140-5007 Ph: (215) 707-2895 |
| NPI Number | 1174902530 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174902530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS016011L (Pennsylvania) | Primary |
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