Organization
BRENT CORBRIDGE, DMD, MSD DENTAL CORPORATION
Active
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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