Individual
DR. PHIL M CORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
117 PROFESSIONAL DR, WEST MONROE, LA 71291-5331
(318) 387-8504
(318) 387-4757
Mailing address
2204 POINT DR, MONROE, LA 71201-2870
(318) 387-6905
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2397
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1823970
—
LA
Enumeration date
02/21/2007
Last updated
07/08/2007
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