Organization
CORPODIAN DENTAL CORPORATION
Active
Other names
Corpodian Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY CORPODIAN DDS (OWNER/DOCTOR/PRESIDENT)
(702) 370-1644
Entity
Organization
Contact information
Practice address
120 TUSTIN AVE, C252, NEWPORT BEACH, CA 92663-4729
(702) 370-1644
Mailing address
120 TUSTIN AVE, C252, NEWPORT BEACH, CA 92663-4729
(702) 370-1644
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62505
CA
Other
Enumeration date
02/28/2014
Last updated
05/22/2014
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