Individual
MRS. BONNIE LOTT CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
103 SUPERIOR DRIVE, SPRING LAKE, NC 28390
(910) 497-3200
Mailing address
5624 MIDDLEFIELD PLACE, FAYETTEVILLE, NC 28304
(910) 309-4822
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5479
NC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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