Individual
GARY W CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
371 S ROOP ST, CARSON CITY, NV 89701
(775) 882-0635
(775) 882-3420
Mailing address
9530 CORDOBA BLVD, SPARKS, NV 89441
(775) 624-6722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15598
OH
122300000X
Dentist
Primary
2701
NV
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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