Corey Foulk

NPI #1780329250 in Las Vegas, Nevada

Provider Information

NPI Number: 1780329250
Entity Type: Individual
Name: Corey Foulk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 29, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 1700 W CHARLESTON BLVD BLDG D
City: Las Vegas
State: Nevada
ZIP Code: 89102-2335
Phone: (775) 453-0270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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