DR. Richard E Corley, D.D.S

NPI #1538241948 in Destin, Florida

Provider Information

NPI Number: 1538241948
Entity Type: Individual
Name: DR. Richard E Corley, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 14091 EMERALD COAST PKWY STE A
City: Destin
State: Florida
ZIP Code: 32541-3350
Phone: (850) 654-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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