Individual
DANIEL WARD BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3223 NORTH BROAD STREET, TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY, PHILADELPHIA, PA 19140-5007
(215) 707-2979
(215) 707-7616
Mailing address
421 SAINT DAVIDS RD, ST DAVIDS, PA 19087-4309
(610) 254-8495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026584L
PA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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