Organization · Type 2 NPI

Temple University Kornberg School of Dentistry Community Dental Clinic

Dental Clinic/Center · Philadelphia, PA

NPI number 1649566738 Active

Practice location

3223 N. Broad St.
Philadelphia, PA 19140-5007

Call (215) 707-7756 Map

Fax (215) 707-5885

Mailing address

3223 N Broad St
Philadelphia, PA 19140-5007

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDS018795L (PA)

Dental Clinic/Center: Definition to come...

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About NPI 1649566738

Temple University Kornberg School of Dentistry Community Dental Clinic's National Provider Identifier is 1649566738, issued on Jun 27, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 27, 2011.