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Individual
DR. JOHN TYLER CORCORAN
Active
Individual
DR. JOHN TYLER CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12630
NC
1223G0001X
General Practice Dentistry
30.025421
OH
Other
Enumeration date
05/21/2018
Last updated
05/21/2024
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