DR. Mauro Correa JR., D.M.D.
NPI #1063760213 in Ft Jackson, South Carolina
Provider Information
- NPI Number
- 1063760213
- Entity Type
- Individual
- Name
- DR. Mauro Correa JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 20, 2012
- Last Updated
- Sep 23, 2019
Practice Location
- Address
- 4323 HILL STREET
- Address 2
- USA DENTAL HEALTH ACTIVITY
- City
- Ft Jackson
- State
- South Carolina
- ZIP Code
- 29207-6022
- Phone
- (803) 751-6209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
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