Individual
DR. BEN MICHAEL CORPRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5915 LA CROSSE AVE STE 105, AUSTIN, TX 78739-1747
(919) 740-5096
Mailing address
1905 CROOKED LN, AUSTIN, TX 78741-3907
(919) 740-5096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33478
TX
Other
Enumeration date
08/12/2015
Last updated
03/17/2018
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