| Brent Corbridge, Dmd, Msd Dental Corporation | |
|
720 Ash St Ste A Susanville CA 96130-3716 | |
| (530) 257-4455 | |
| Not Available |
| Full Name | Brent Corbridge, Dmd, Msd Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 720 Ash St Ste A, Susanville, California |
| Authorized Official Name and Position | Roger Helwig (COO) |
| Authorized Official Contact | 7753361510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Corbridge, Dmd, Msd Dental Corporation 3605 Grant Dr Reno NV 89509-5301 Ph: (775) 336-1510 | Brent Corbridge, Dmd, Msd Dental Corporation 720 Ash St Ste A Susanville CA 96130-3716 Ph: (530) 257-4455 |
| NPI Number | 1568910917 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568910917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 26508 (California) | Primary |
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