Individual
DR. ANNA KORNBROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1601 WALNUT ST STE 902, PHILADELPHIA, PA 19102-2905
(215) 563-6263
(215) 563-9898
Mailing address
1601 WALNUT ST STE 902, PHILADELPHIA, PA 19102-2905
(215) 563-6263
(215) 563-9898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021370L
PA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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