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Provider Information for 1851557383



DR. ANTHONY GERARD CORBO D.D.S.

Gender: MALE

Individual NPI: 1851557383

Calendar Last Updated: 2008-08-04

Details

Name Value
NPI 1851557383
Enumeration Date 2008-08-04
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1160 KANE CONCOURSE SUITE 303
BAY HARBOR ISLANDS, FL 33154-2053
United States

Phone: 305-861-9200 | Fax: 305-861-9211
View Map External Link
Primary Practice Address 1160 KANE CONCOURSE SUITE 303
BAY HARBOR ISLANDS, FL 33154-2053
United States

Phone: 305-861-9200 | Fax: 305-861-9211
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL 5458
Other Identifiers
Issuer State Number