Individual
CORBIN AVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 ROSSANLEY DR, MEDFORD, OR 97501-1713
(541) 797-6152
Mailing address
19700 E PARKER SQUARE DR, PARKER, CO 80134-7301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00205808
CO
1223G0001X
General Practice Dentistry
Primary
D11314
OR
Other
Enumeration date
08/28/2020
Last updated
11/08/2023
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