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Individual

ROBERT THOMAS CORTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3 S WAIOLA AVE, LA GRANGE, IL 60525-2255
(708) 354-1003
Mailing address
329 DOVER AVE, LA GRANGE PARK, IL 60526-1704
(708) 482-0435

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1926
ND
122300000X
Dentist
2002005743
MO
122300000X
Dentist
3283-015
WI
122300000X
Dentist
5592
OK
122300000X
Dentist
Primary
IL

Other

Enumeration date
11/14/2006
Last updated
07/08/2007
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