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Individual

MEGUMI KONDO CORLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
240 GEIGER RD, PHILADELPHIA, PA 19115-1008
(215) 677-0380
Mailing address
111 S 15TH ST APT 2305, PHILADELPHIA, PA 19102-2608
(908) 692-0825

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045180
PA

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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