Individual
DR. CORYDON LOUIS DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2261 HUGHES AVE STE 153, JBSA LACKLAND, TX 78236-9852
(210) 395-9661
Mailing address
136 TYNDALL PL, LANGLEY AFB, VA 23665-1910
(757) 764-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14491
TX
Other
Enumeration date
03/14/2006
Last updated
09/11/2019
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