Individual
DR. CHARLES WAYNE KORANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
1705 22ND ST, FLORENCE, OR 97439-9518
(541) 997-3111
(541) 997-7493
Mailing address
PO BOX 159, FLORENCE, OR 97439-0006
(541) 997-3111
(541) 997-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6036
OR
1223G0001X
General Practice Dentistry
D6036
OR
Other
Enumeration date
04/23/2007
Last updated
06/12/2025
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