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Individual

JUDITH CROCKER CORBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH, BSDH, FADPD

Contact information

Practice address
1255 W WASHINGTON ST, MONTICELLO, FL 32344-1128
(850) 342-0170
(850) 342-0024
Mailing address
5437 US HIGHWAY 19 S, THOMASVILLE, GA 31792-1219
(229) 403-0227

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009161
FL

Other

Enumeration date
10/11/2017
Last updated
10/11/2017
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