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NPI Code Detail

MEDICARE: DR. RONALD SORIANO CORCUERA DMD

MEDICARE: DR. RONALD SORIANO CORCUERA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist7806NV
21223G0001XGeneral Practice Dentistry7806NV

General Provider Information

NPI Number : 1861184343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD SORIANO CORCUERA DMD
Provider Business Mailing Address
First Line : 1991 ANTELOPE HILL CT
Second Line :
City : HENDERSON
State : NV
Zip : 89012-2183
Country : US
Telephone Number : 702-439-2273
Fax Number :
Provider Business Practice Location Address
First Line : 6545 S FORT APACHE RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-6753
Country : US
Telephone Number : 702-331-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 05/23/2023

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