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1912434549
MATTHEW S TENAGLIA
PHILADELPHIA, PA
NPI
1912434549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-05-14
Last Update Date
2017-05-14
Business Address
MATTHEW S TENAGLIA DMD
909 WALNUT ST RM 300
PHILADELPHIA, PA 19107-5211
Phone number: 215-503-7118
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Mailing Address
MATTHEW S TENAGLIA DMD
1601 SPRING GARDEN ST APT 305
PHILADELPHIA, PA 19130-3943
Phone number: 484-620-1355
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