Individual
DR. PAUL L COREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
577 STERNBERG AVE, HEADQUARTERS US ARMY DENTAL ACTIVITY CREDENTIALS OFFICE, FORT EUSTIS, VA 23604-5311
(757) 314-7944
(757) 314-7942
Mailing address
577 STERNBERG AVE, HEADQUARTERS US ARMY DENTAL ACTIVITY CREDENTIALS OFFICE, FORT EUSTIS, VA 23604-5311
(757) 314-7944
(757) 314-7942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08265
MD
Other
Enumeration date
09/29/2006
Last updated
09/11/2007
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