# TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISYRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174902530
- **Authorized official:** DR. JOHN FRIEL DDS (CLINIC LEADER)
- **Authorized official phone:** (215) 499-5770

## Contact information

- **Practice address:** 3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
- **Practice address phone:** (215) 707-2895
- **Mailing address:** 505 S 10TH ST, UNIT J, PHILADELPHIA, PA 19147-1252
- **Mailing address phone:** (215) 629-9755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS016011L | PA | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015