Individual
DR. CHRISTOPHER CORSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
4110 MOORPARK AVE STE G, SAN JOSE, CA 95117-1712
(408) 997-7772
Mailing address
334 SANTANA ROW APT 300, SAN JOSE, CA 95128-2021
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052958
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
56605
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DI 24133
NJ
Other
Enumeration date
11/10/2008
Last updated
09/09/2024
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