DR. Cory Fortson

NPI #1306258280 in Southfield, Michigan

Provider Information

NPI Number
1306258280
Entity Type
Individual
Name
DR. Cory Fortson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
May 27, 2014
Last Updated
May 8, 2024

Practice Location

Address
17600 W 12 MILE RD STE 3
ZIP Code
48076-1910
Phone
(248) 569-6722

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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