Individual
DR. JOHN M CORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 HARTH PLACE, SUMMERVILLE, SC 29485
(843) 873-7326
(843) 486-1051
Mailing address
100 HARTH PLACE, SUMMERVILLE, SC 29485
(843) 873-7326
(843) 486-1051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2855
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z28550
—
SC
Enumeration date
05/10/2007
Last updated
07/08/2007
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