# PHILADELPHIA DENTAL LASER & COSMETIC DENTISTRY LLC

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

## Provider details

- **NPI number:** 1699237602
- **Authorized official:** DR. BARBARA ANN TARNOSKI DMD (CO-OWNER)
- **Authorized official phone:** (610) 888-3291

## Contact information

- **Practice address:** 3016 TOWNSHIP LINE RD, DREXEL HILL, PA 19026-1823
- **Practice address phone:** (610) 888-3291
- **Practice address fax:** (484) 454-3744
- **Mailing address:** 3016 TOWNSHIP LINE RD, DREXEL HILL, PA 19026-1823
- **Mailing address phone:** (610) 888-3291
- **Mailing address fax:** (484) 454-3744

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 04/01/2019