Organization
KORCORT ENTERPRISES, INC.
Active
Other names
Shelbourne Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES VINCENT CORTELLESSA (PRESIDENT)
(610) 779-0610
Entity
Organization
Contact information
Practice address
1270 SHELBOURNE RD, READING, PA 19606-9022
(610) 779-0610
(610) 779-9252
Mailing address
6 LAFITTE CT, DOWNINGTOWN, PA 19335-1852
(610) 779-0610
(610) 779-9252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026922L
PA
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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