DR. Gerald Roger Corcoran, DDS

NPI #1851554521 in De Forest, Wisconsin

Provider Information

NPI Number
1851554521
Entity Type
Individual
Name
DR. Gerald Roger Corcoran, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 3, 2008
Last Updated
Jul 3, 2008

Practice Location

Address
210 N MAIN ST
Address 2
SUITE 103
ZIP Code
53532-1163
Phone
(608) 846-3948

Specialties & Taxonomy Codes

Specialty
Dentist

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