Organization
LASER DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY MONICA CORKE RDH (OFFICER)
(239) 936-5442
Entity
Organization
Contact information
Practice address
1550 MATTHEW DR, FORT MYERS, FL 33907-1733
(239) 936-5442
(239) 936-4478
Mailing address
1550 MATTHEW DR, FORT MYERS, FL 33907-1733
(239) 936-5442
(239) 936-4478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14551
FL
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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