Organization
TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISYRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRIEL DDS (CLINIC LEADER)
(215) 499-5770
Entity
Organization
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-2895
Mailing address
505 S 10TH ST, UNIT J, PHILADELPHIA, PA 19147-1252
(215) 629-9755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS016011L
PA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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