CHARLES RICHARD CORDOVA

HOMER, AK
NPI1891864591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AK  AA691)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
MR. CHARLES RICHARD CORDOVA DDS
3714 GREAT LAND ST
HOMER, AK 99603
Phone number: 907-235-6106
Mailing Address
MR. CHARLES RICHARD CORDOVA DDS
3714 GREAT LAND ST
HOMER, AK 99603
Phone number: 907-235-6106
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