Individual
DR. KENNETH G BOBERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-7708
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-7708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024677L
PA
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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