Individual
COREY FOULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 W CHARLESTON BLVD BLDG D, LAS VEGAS, NV 89102-2335
(775) 453-0270
Mailing address
297 ELDER VIEW DR, LAS VEGAS, NV 89138-5011
(775) 843-2303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7652
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2022
Last updated
08/29/2022
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