DR. Corby M Dixon

NPI #1265093017 in Preston, Idaho

Provider Information

NPI Number: 1265093017
Entity Type: Individual
Name: DR. Corby M Dixon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 24, 2019
Last Updated: Mar 21, 2024

Practice Location

Address: 395 E 600 S
City: Preston
State: Idaho
ZIP Code: 83263-4901
Phone: (208) 852-0194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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