Individual
DR. SAMUEL LOUIS COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10216 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1611
(260) 489-0078
(260) 490-5106
Mailing address
10216 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1611
(260) 489-0078
(260) 490-5106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009461A
IN
Other
Enumeration date
10/06/2006
Last updated
08/18/2022
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