Organization
BRENT CORBRIDGE, DMD, MSD DENTAL CORPORATION
Active
Other names
Susanville Orthodontic Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER HELWIG (COO)
(775) 336-1510
Entity
Organization
Contact information
Practice address
720 ASH ST STE A, SUSANVILLE, CA 96130-3716
(530) 257-4455
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 336-1510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26508
CA
Other
Enumeration date
09/14/2016
Last updated
09/15/2016
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