Provider First Line Business Practice Location Address:
3223 NORTH BROAD STREET, TEMPLE UNIVERSITY
Provider Second Line Business Practice Location Address:
SCHOOL OF DENTISTRY, DEPARTMENT OF ENDODONTOLOGY
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-335-6966
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2009