CORY FORTSON

Oral and Maxillofacial Surgery (Dentist)

NPI: 1306258280Individual

Specialties, Licenses & Credentials

Dentist

Code: 122300000X

2901021215(MI)

Oral and Maxillofacial Surgery (Dentist)Primary

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

2901021215(MI)

Contact & Hours

Address: 17600 W 12 MILE RD STE 3
SOUTHFIELD, MI 48076
Phone: (248) 569-6722

Quick Facts

NPI: 1306258280
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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