Individual
DR. DOUGLAS WILLIS CORRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
427 S MAIN ST STE 101, CEDAR CITY, UT 84720-3957
(435) 586-6526
(435) 867-9230
Mailing address
427 S MAIN ST STE 101, CEDAR CITY, UT 84720-3957
(435) 586-6526
(435) 867-9230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8705196
UT
1223G0001X
General Practice Dentistry
27130
TX
Other
Enumeration date
01/13/2012
Last updated
03/31/2014
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