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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL 5458