| Ronald Corley, Dds | |
|
614 Andrew Ave La Porte IN 46350-4677 | |
| (219) 326-7530 | |
| (219) 326-7531 |
| Full Name | Ronald Corley, Dds |
|---|---|
| Speciality | Dentist |
| Location | 614 Andrew Ave, La Porte, Indiana |
| Authorized Official Name and Position | Ronald K Corley (DENTIST/OWNER) |
| Authorized Official Contact | 2193267530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Corley, Dds 614 Andrew Ave La Porte IN 46350-4677 Ph: (219) 326-7530 | Ronald Corley, Dds 614 Andrew Ave La Porte IN 46350-4677 Ph: (219) 326-7530 |
| NPI Number | 1437451481 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 11/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437451481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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