Individual
MRS. DEMETRIA JILL CORBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1242 W 42ND AVE, PINE BLUFF, AR 71603-7109
(870) 535-0301
Mailing address
3108 HIGHWAY 104, WHITE HALL, AR 71602-9182
(501) 831-2852
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1111
AR
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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