Individual
DR. PHILIP J KORALISHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
544 SALEM STREET, WAKEFIELD, MA 01880-1213
(781) 246-5979
Mailing address
544 SALEM STREET, WAKEFIELD, MA 01880-1213
(781) 246-5979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15916
MA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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