Cordova, Charles Richard

Cordova, Charles Richard is an individual health care provider with primary practice located at 3714 Great Land St , Homer AK 99603. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cordova, Charles Richard can be contacted via phone (907) 235-6106.

Contact Information

Primary practice address
3714 Great Land St Homer AK 99603
Phone: (907) 235-6106
Fax: (907) 235-6107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X AA691 Alaska

Profile Details

NPI number 1891864591
LBN Legal business name Cordova, Charles Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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