Individual
KATHLEEN O'HARA CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1515 CHURCH ST, ZACHARY, LA 70791-2748
(225) 654-7760
Mailing address
1515 CHURCH ST, ZACHARY, LA 70791-2748
(225) 654-7760
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6810
LA
Other
Enumeration date
04/12/2017
Last updated
09/27/2024
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