Corbin Avey

NPI #1568075554 in Medford, Oregon

Provider Information

NPI Number: 1568075554
Entity Type: Individual
Name: Corbin Avey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 28, 2020
Last Updated: Nov 8, 2023

Practice Location

Address: 11 ROSSANLEY DR
City: Medford
State: Oregon
ZIP Code: 97501-1713
Phone: (541) 797-6152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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