Organization
JCDSM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY LAMAR CORBET DDS (OWNER)
(817) 354-0606
Entity
Organization
Contact information
Practice address
2205 HARWOOD RD, BEDFORD, TX 76021-3607
(817) 354-0606
(817) 354-1015
Mailing address
2205 HARWOOD RD, BEDFORD, TX 76021-3607
(817) 354-0606
(817) 354-1015
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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