Individual
DR. MARCUS CORKERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17029 N LAKEWAY AVE, BATON ROUGE, LA 70810-8960
(225) 328-9361
Mailing address
17029 N LAKEWAY AVE, BATON ROUGE, LA 70810-8960
(225) 328-9361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6490
LA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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