Individual
DR. OMAR CARCORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14024 FORT ST, SOUTHGATE, MI 48195-1268
(734) 444-9662
Mailing address
4800 MEAD ST, DEARBORN, MI 48126-3097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602317
MI
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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