Individual
ROBERT COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6718
Mailing address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0007029-C1
AL
171000000X
Military Health Care Provider
—
AL
Other
Enumeration date
06/07/2022
Last updated
09/08/2023
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