DR. GLEN CORCORAN, D.D.S.

Dentist

Active Individual
NPI: 1588630198

Practice Address

3701 HIGHWAY 59
SUITE E
Mandeville, LA 70471

Phone: (985) 871-9733

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 4477 (LA)

Frequently Asked Questions

NPI 1588630198 is the National Provider Identifier for DR. GLEN CORCORAN, D.D.S., a Dentist provider located in Mandeville, LA. This NPI was enumerated on February 23, 2006.
DR. GLEN CORCORAN, D.D.S. practices at 3701 HIGHWAY 59, SUITE E, Mandeville, LA 70471.

Quick Facts

NPI
1588630198
Type
Individual
Enumerated
Feb 23, 2006
Last Updated
Jul 8, 2007

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