Individual
CARISSE CORNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1111 CUMBERLAND XING, VALPARAISO, IN 46383-2356
(219) 286-6148
(219) 286-6149
Mailing address
1111 CUMBERLAND XING, VALPARAISO, IN 46383-2356
(219) 286-6148
(219) 286-6149
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12011775A
IN
1223P0221X
Pediatric Dentistry
57461
CA
Other
Enumeration date
06/11/2009
Last updated
07/16/2014
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