DR. Ronald Keith Corley, DDS

NPI #1164460705 in Laporte, Indiana

Provider Information

NPI Number: 1164460705
Entity Type: Individual
Name: DR. Ronald Keith Corley, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 614 ANDREW AVE
City: Laporte
State: Indiana
ZIP Code: 46350
Phone: (219) 326-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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