TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY NPI 1841268604

NPI Information

TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY is a dental clinic center in Philadelphia, PA. TEMPLE UNIVERSITY KORNBERG SCHOOL OF DENTISTRY NPI is 1841268604. The provider is registered as an organization entity type.

The provider's business location address is:

3223 N BROAD ST
PHILADELPHIA, PA
ZIP 19140-007
Phone: (215) 707-7756
Fax: (215) 707-5885

The provider's authorized official is Angelina Fagan .
The authorized official title is Financial Supervisor / Manager and has the following contact phone number (215) 707-2828.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 2/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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