Individual
MATTHEW ANTHONY CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
317 READING RD, MASON, OH 45040-1567
(513) 398-5946
Mailing address
317 READING RD, MASON, OH 45040-1567
(513) 398-5946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-9670
OH
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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