Individual
DR. MICHAEL WAYNE KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,
Contact information
Practice address
6516 M D ANDERSON BLVD, HOUSTON, TX 77030-3402
(713) 500-4049
(713) 500-4393
Mailing address
1215 CLARKDALE CT, HOUSTON, TX 77094-3204
(713) 542-5752
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15728
TX
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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