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Organization
TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISYRY
Active
Organization
TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISYRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRIEL DDS (CLINIC LEADER)
(215) 499-5770
Entity
Organization
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2895
Mailing address
505 S 10TH ST, UNIT J, PHILADELPHIA, PA 19147-1252
(215) 629-9755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS016011L
PA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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