Individual
DR. CHARLES MICHAEL CORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
217 ADAMS ST, WINNER, SD 57580-1919
(605) 842-1793
(605) 842-3706
Mailing address
217 ADAMS ST, POBOX 626, WINNER, SD 57580-1919
(605) 842-1793
(605) 842-3706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M351
SD
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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