Individual
DR. COLLEEN CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2700 S HIGHWAY 191, STE. 1, MOAB, UT 84532-3443
(435) 259-5378
(435) 259-3458
Mailing address
2700 S HIGHWAY 191, STE. 1, MOAB, UT 84532-3443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
373447
UT
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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