Individual
DR. COREY SMIGIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4 BURTON LN STE 200, MULLICA HILL, NJ 08062-9441
(856) 343-4020
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02908400
NJ
1223G0001X
General Practice Dentistry
DS043632
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2021
Last updated
07/22/2022
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