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Organization
FRANK A. CORNELLA DDS, MD PC
Active
Organization
FRANK A. CORNELLA DDS, MD PC
Active
Other names
Oral Surgery of Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A CORNELLA DDS,MD (OWNER)
(417) 881-4546
Entity
Organization
Contact information
Practice address
3237 E SUNSHINE ST STE B, SPRINGFIELD, MO 65804-6919
(417) 881-4546
(417) 883-0443
Mailing address
3237 E SUNSHINE ST STE B, SPRINGFIELD, MO 65804-6919
(417) 881-4546
(417) 883-0443
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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