GLEN J CORCORAN

MANDEVILLE, LA
NPI1588630198
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  4477)
Enumeration Date2006-02-23
Last Update Date2007-07-08
Business Address
Dr. GLEN J CORCORAN D.D.S.
3701 HIGHWAY 59 SUITE E
MANDEVILLE, LA 70471-1905
Phone number: 985-871-9733
Mailing Address
Dr. GLEN J CORCORAN D.D.S.
3101 GROVE CT
MANDEVILLE, LA 70448-8485
Phone number: 985-626-5582