Individual
DR. TY C. CORBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1323 MICHIGAN ST, SANDPOINT, ID 83864-1747
(208) 265-1705
Mailing address
38 ROUNDHOUSE DR, SANDPOINT, ID 83864-8675
(208) 263-5663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3789
ID
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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