| NPI | 1598175929 |
|---|---|
| Professional Name | COREY STEVEN JONES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030088) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 3208) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2015-01-26 |