DR. Ty C. Corbridge, D.M.D.

NPI #1740329952 in Sandpoint, Idaho

Provider Information

NPI Number
1740329952
Entity Type
Individual
Name
DR. Ty C. Corbridge, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Feb 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1323 MICHIGAN ST
State
Idaho
ZIP Code
83864-1747
Phone
(208) 265-1705

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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