Individual
DR. COREY CLIFFORD CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 STAGECOACH TRL STE 700, SAN MARCOS, TX 78666-5151
(512) 396-4288
Mailing address
PO BOX 297, SAN MARCOS, TX 78667-0297
(361) 549-8331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22947
TX
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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