Individual
DR. DANIELLE CORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-5429
Mailing address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-5429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012209A
IN
Other
Enumeration date
08/08/2014
Last updated
08/24/2020
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