Daisy E Cornell

NPI #1619608023 in Shiloh, Illinois

Provider Information

NPI Number: 1619608023
Entity Type: Individual
Name: Daisy E Cornell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 301 TAMARACK LN
City: Shiloh
State: Illinois
ZIP Code: 62269-2993
Phone: (618) 632-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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