Individual
DR. DEREK M CORNETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
36 S MAIN ST, ASSONET, MA 02702-1710
(508) 644-5200
Mailing address
PO BOX 137, ASSONET, MA 02702-0137
(508) 644-5200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN03224
RI
1223G0001X
General Practice Dentistry
Primary
DN1856555
MA
Other
Enumeration date
06/10/2014
Last updated
12/11/2020
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