Organization
TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY COMMUNITY DENTAL CLINIC
Active
Parent organization
TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY
Authorized official
MS. DEBORAH RICKS (FINANCIAL MANAGER)
(215) 707-7756
Entity
Organization
Contact information
Practice address
3223 N. BROAD ST., PHILADELPHIA, PA 19140-5007
(215) 707-7756
(215) 707-5885
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-7756
(215) 707-5885
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS018795L
PA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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