Individual
DR. CORBY M DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 E 600 S, PRESTON, ID 83263-4901
(208) 852-0194
Mailing address
6037 BESSINGER ST, FORT SILL, OK 73503-4406
(580) 442-6106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5018
ID
Other
Enumeration date
06/24/2019
Last updated
03/21/2024
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