Individual
DR. MITCHELL CORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9990 VERREE RD, PHILADELPHIA, PA 19115-1322
(215) 813-9292
(609) 350-7022
Mailing address
9733 BUSTLETON AVE, PHILADELPHIA, PA 19115-3201
(215) 813-9292
(609) 350-7022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS14219L
PA
Other
Enumeration date
01/04/2006
Last updated
10/13/2011
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