Webb, Corazon A

Webb, Corazon A is an individual health care provider with primary practice located at 505 Harmon Loop Road, Suite 300 , Dededo GUAM 96929. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Webb, Corazon A can be contacted via phone (671) 637-9696.

Contact Information

Primary practice address
505 Harmon Loop Road, Suite 300 Dededo GUAM 96929
Fax: (671) 637-6464
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 42026 California
Dental Providers / General Practice 1223G0001X D965 Guam

Profile Details

NPI number 1851735021
LBN Legal business name Webb, Corazon A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2013
Last updated Apr 18th, 2013 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851735021 NPPES
California MEDICAID 42026
California MEDICAID D965

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