Organization
FRANK A. CORNELLA DDS, MD PC
Active
Other names
Oral Surgery of Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A CORNELLA DDS,MD (OWNER)
(417) 881-4546
Entity
Organization
Contact information
Practice address
3237 E SUNSHINE ST STE B, SPRINGFIELD, MO 65804-6919
(417) 881-4546
(417) 883-0443
Mailing address
3237 E SUNSHINE ST STE B, SPRINGFIELD, MO 65804-6919
(417) 881-4546
(417) 883-0443
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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