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DR. DEREK TODD CORN DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1295220010

Individual Registrant:
DR. DEREK TODD CORN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
206 S MAIN ST  EDINBURGH, IN 46124-1337 US
Tel: 812-220-2676  Fax: --

Contact information for business:
206 S MAIN ST  EDINBURGH, IN 46124-1337 US
Tel: 812-381-1525  Fax: --

Registration Information:
NPI: 1295220010
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
IN12012950A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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