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1063538247
DAVID M CORCORAN
ROCKFORD, IL
NPI
1063538247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.016860)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Dr. DAVID M CORCORAN DDS
6058 GARRETT LN
ROCKFORD, IL 61107-5228
Phone number: 815-398-5610
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Mailing Address
Dr. DAVID M CORCORAN DDS
6058 GARRETT LN
ROCKFORD, IL 61107-5228
Phone number: 815-398-5610
Copy
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