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Mr. Charles Richard Cordova, DDS
General Practice Dentistry in Homer, Alaska
NPI 1891864591

Charles Richard Cordova is a General Practice Dentistry based in Homer, AK and is specialized in General Practice. Charles Richard Cordova practices in Homer, AK and has the professional credentials of DDS. The NPI Number for Charles Richard Cordova is 1891864591 and holds a License No. AA691 (Alaska).

The current practice location address for Charles Richard Cordova is 3714 Great Land St, Homer, AK and can be reached out via phone at 907-235-6106 and via fax at 907-235-6107.

Location: 3714 Great Land St, Homer, AK, 99603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891864591
Provider Name
Charles Richard Cordova
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3714 Great Land St, Homer, AK, 99603
Phone Number
907-235-6106
Fax Number
907-235-6107
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3714 Great Land St
City
Homer
State
Alaska
Zip
99603
Phone Number
907-235-6106
Fax Number
907-235-6107
person
Provider Business Mailing Address Details
Address
3714 Great Land St
City
Homer
State
Alaska
Zip
99603
Phone Number
907-235-6106
Fax Number
907-235-6107
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
AA691 (Alaska)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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