Individual
CORBIN MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
835 N 700 E, PROVO, UT 84606-6993
(801) 373-7700
(801) 370-0762
Mailing address
835 N 700 E, PROVO, UT 84606-6993
(801) 373-7700
(801) 370-0762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
372923-9922
UT
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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