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Organization

COBBLESTONE KIDS PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE THOMAS LYNCH IV D.M.D. (PEDIATRIC DENTIST)
(215) 913-3615
Entity
Organization

Contact information

Practice address
1352 SOUTH ST, C5, PHILADELPHIA, PA 19147-1858
(215) 913-3615
Mailing address
1101 WASHINGTON AVE, VILLA 1, PHILADELPHIA, PA 19147-3839
(215) 913-3615

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS036787
PA

Other

Enumeration date
11/01/2010
Last updated
11/01/2010
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