Organization
TEMPLE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COLLEEN MONTGOMERY (RESIDENCY COORDINATOR)
(215) 707-1020
Entity
Organization
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-1020
Mailing address
433 DORCHESTER DR, DELRAN, NJ 08075-1369
(609) 947-3526
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
PA
Other
Enumeration date
06/20/2011
Last updated
07/21/2022
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