Individual
LOUIS CORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18205 N 51ST AVE, #101, GLENDALE, AZ 85308-1490
(602) 942-2880
Mailing address
18205 N 51ST AVE, STE. 101, GLENDALE, AZ 85308-1490
(602) 993-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4729
AZ
1223G0001X
General Practice Dentistry
53352
CA
Other
Enumeration date
12/12/2006
Last updated
11/14/2012
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