Individual
CRAIG STEVEN CORREIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
825 MULBERRY ST, LOUISVILLE, KY 40217-1223
(803) 474-0703
Mailing address
825 MULBERRY ST, LOUISVILLE, KY 40217-1223
(803) 474-0703
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11163
KY
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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