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Individual

DR. KELSEY BRITTANY CORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
120 C AVE STE 100, CORONADO, CA 92118-1992
(209) 518-9612
Mailing address
120 C AVE STE 100, CORONADO, CA 92118-1992
(209) 518-9612

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
105480
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659768802
CA
Enumeration date
02/09/2019
Last updated
11/29/2021
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