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DR. RICHARD CORDERO D.M.D, M.D.

Oral and Maxillofacial Surgery

South Burlington, Vermont

Provider NPI: 1144414004

Provider Information:
DR. RICHARD  CORDERO D.M.D, M.D.
Gender: M
Not Sole Proprietor

Practice Location:
118 TILLEY DR SUITE 102 SOUTH BURLINGTON, VT 05403 US
Tel: 802-862-9196  Fax: --

Business Mailing Address:
118 TILLEY DR STE 102 SOUTH BURLINGTON, VT 05403 US
Tel: 802-862-9196  Fax: 802-862-5769

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
VT87326

Other Provider Identifiers:

IssuerNumberStateType
DEA-DEPARTMENT OF JUSTICEFC3158993VT01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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