Jeffrey Wynn Corll, DDS
NPI #1376550269 in Mars, Pennsylvania
Provider Information
- NPI Number
- 1376550269
- Entity Type
- Individual
- Name
- Jeffrey Wynn Corll, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 508 PITTSBURGH STREET
- Address 2
- MARS PROFESSIONAL BLDG SUITE 201
- City
- Mars
- State
- Pennsylvania
- ZIP Code
- 16046-0438
- Phone
- (724) 625-3151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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