Individual
MR. CORIE ROYLAND ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13161 W 143RD ST, SUITE #104, HOMER GLEN, IL 60491-6890
(415) 971-3667
Mailing address
233 E 13TH ST, APT 2303, CHICAGO, IL 60605-3237
(415) 971-0463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028834
IL
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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