Mitchell Corson D.D.S.

NPI 1174501696 - Dentist - 122300000X

NPI Details
NPI 1174501696
Gender Male
Enumeration Date 01/04/2006
Last Updated 10/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
9990 VERREE RD
PHILADELPHIA PA, 19115-1322, US
Phone (215) 813-9292
Fax (609) 350-7022
Business Location
9733 BUSTLETON AVE
PHILADELPHIA PA, 19115-3201, US
Phone (215) 813-9292
Fax (609) 350-7022
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS14219L
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According to our database, Dr. Mitchell Corson D.D.S. NPI is 1174501696, taxonomy code is 122300000X and license number is DS14219L, license state is located at Pennsylvania. Mitchell Corson D.D.S. physically located at 9990 Verree Rd, Philadelphia PA, 19115-1322. NPI Number Mitchell Corson D.D.S. has the Individual type.

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1174501696 NPI number is provided on an as is basis without warranty of any kind. 1174501696 is maintained by the National Plan & Provider Enumeration System. The contents of Mitchell Corson D.D.S. are for informational purposes only.