CORBIN AVEY
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1568075554- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11 ROSSANLEY DR, MEDFORD, OR, 975011713
- Phone
- (541) 797-6152
Specialties & Taxonomies
Dentist, General Practice
Primary License: OR #D11314
Dentist
License: CO #DEN.00205808
All Addresses
MAILING
19700 E PARKER SQUARE DR
PARKER, CO, 801347301