Individual
DR. COREY SCOTT SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 E NEWTON ST, 7TH FLOOR-ROOM G716, BOSTON, MA 02118-2308
(662) 416-0889
Mailing address
100 E NEWTON ST, 7TH FLOOR-ROOM G716, BOSTON, MA 02118-2308
(662) 416-0889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL 11605
MA
Other
Enumeration date
07/07/2012
Last updated
07/29/2013
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