Organization
ANNA KORNBROT DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA KORNBROT DMD (PRESIDENT)
(215) 563-6263
Entity
Organization
Contact information
Practice address
1601 WALNUT STREET, STE 902, PHILA, PA 19102
(215) 563-6263
(215) 563-9898
Mailing address
1601 WALNUT STREET, STE 902, PHILA, PA 19102
(215) 563-6263
(215) 563-9898
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS021370L
PA
Other
Enumeration date
08/04/2006
Last updated
03/20/2012
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