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1154358042
JONATHAN MARK KOROSTOFF
PHILADELPHIA, PA
NPI
1154358042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: PA DS024789L)
Enumeration Date
2006-06-27
Last Update Date
2013-04-02
Business Address
-- JONATHAN MARK KOROSTOFF DMD
3400 SPRUCE ST 5 WHITE BUILDING
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-3580
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Mailing Address
-- JONATHAN MARK KOROSTOFF DMD
3400 SPRUCE ST 5 WHITE BUIDING
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-3580
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