Individual
CORRINE NICHOLE ROBIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
22208 S.E ASH, GRESHAM, OR 97030
(503) 935-4667
Mailing address
22208 S.E ASH, GRESHAM, OR 97030
(503) 935-4667
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
119737
OR
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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