# OUTSIDE BONES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Care Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326684606
- **Authorized official:** JORDAN KLINKNER (OWNER)
- **Authorized official phone:** (608) 697-3087

## Contact information

- **Practice address:** 1300 MACDADE BLVD UNIT 5, WOODLYN, PA 19094-1500
- **Practice address phone:** (608) 697-3087
- **Mailing address:** 1411 EMERICK ST, PHILADELPHIA, PA 19125-2612
- **Mailing address phone:** (917) 523-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2019
- **Last updated:** 01/21/2020