Most Relevant Information
Provider Data
| NPI Number: | 1003421157 |
| Provider Name: | JOSHUA MICHAEL CORCRAN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 36719 |
Most Important Dates
| Enumeration Date: | 09/14/2020 |
| Last Updated: | 09/14/2020 |
Provider Practice Location
4833 S HULEN ST STE 101
FORT WORTH
TX
761321427
Practice Location Phone/Fax
| Phone: | 8172944600 |
| Fax: |
Provider Mailing Location
5840 RUNNING HORSE DR
NORTH LAS VEGAS
NV
890818006
Provider Mailing Phone/Fax
| Phone: | 7026868025 |
| Fax: |