Organization · Type 2 NPI

Temple University Kornberg School of Dentisyry

Dental Clinic/Center · Philadelphia, PA

NPI number 1174902530 Active

Practice location

3223 N Broad St
Philadelphia, PA 19140-5007

Call (215) 707-2895 Map

Mailing address

505 S 10th St, Unit J
Philadelphia, PA 19147-1252

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDS016011L (PA)

Dental Clinic/Center: Definition to come...

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About NPI 1174902530

Temple University Kornberg School of Dentisyry's National Provider Identifier is 1174902530, issued on May 19, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Philadelphia, PA. The record was last updated on May 19, 2015.