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Individual

DR. CORBIN SALTHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11941 MANCHESTER RD, DES PERES, MO 63131-4502
(314) 804-5437
Mailing address
1314 TURTLE CV, BALLWIN, MO 63011-4249

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2021020458
MO
1223P0221X
Pediatric Dentistry
30025875
OH
1223P0221X
Pediatric Dentistry
61920
KS

Other

Enumeration date
07/24/2019
Last updated
11/01/2022
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