Organization
BARRY F CORSO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY F CORSO DMD (PRESIDENT)
(561) 395-7088
Entity
Organization
Contact information
Practice address
1590 NW 10TH AVE, SUITE 403, BOCA RATON, FL 33486-1313
(561) 395-7088
(561) 395-3482
Mailing address
4229 INTRACOASTAL DR, HIGHLAND BEACH, FL 33487-4209
(561) 272-3611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN12672
STATE OF FL DENTAL LICENS
FL
Enumeration date
12/20/2006
Last updated
08/22/2020
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