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Individual

CORNELIUS SCOTT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
810 WESTPOINT DR, TEMPLE, TX 76504-2234
(318) 525-6098
Mailing address
810 WESTPOINT DR, TEMPLE, TX 76504-2234

Taxonomy

Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary

Other

Enumeration date
07/11/2008
Last updated
07/11/2008
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