Individual
DR. KORY JOHN GOLCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
1200 ROSECRANS AVE STE 101, MANHATTAN BEACH, CA 90266-2470
(310) 615-1022
Mailing address
1441 AVOCADO AVE STE 401, NEWPORT BEACH, CA 92660-7705
(949) 644-0595
(949) 644-5082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
102387
CA
1223E0200X
Endodontics
Primary
102387
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2017
Last updated
05/01/2024
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