Cline-Fortunato, Corrine Ann

Cline-Fortunato, Corrine Ann is an individual health care provider with primary practice located at 223 Mount Hermon Road Suite B, Scotts Valley CA 95066. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Cline-Fortunato, Corrine Ann can be contacted via phone (831) 430-9910.

Contact Information

Primary practice address
223 Mount Hermon Road Suite B Scotts Valley CA 95066
Phone: (831) 430-9910
Fax: (831) 430-9914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 41379 California

Profile Details

NPI number 1225142649
LBN Legal business name Cline-Fortunato, Corrine Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225142649 NPPES
California Other 1098 ANESTHESIA LICENSE
California Other 1098 ANESTHESIA LICENSE

Popular Providers