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Individual

DAVID GABRIEL CORDARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2323 MOODY PKWY, MOODY, AL 35004-3012
(205) 640-1717
(205) 640-4902
Mailing address
1124 20TH ST S APT 404, BIRMINGHAM, AL 35205-2615
(706) 836-3202

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6760
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6760
STATE OF ALABAMA DENTAL LICENSE NUMBER
AL
Enumeration date
06/09/2020
Last updated
06/09/2020
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