| NPI | 1124224985 |
|---|---|
| Doing Business As | MARY ANN CORPUS, DMD |
| Entity Type | Organization |
| Authorized Contact | MARY ANN AREVALO CORPUS Owner 818-788-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA D41381) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |