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Dr. Corrine Ann Cline-fortunato, DDS
Oral and Maxillofacial Surgery (Dentist) in Scotts Valley, California
NPI 1225142649

Corrine Ann Cline-fortunato is a Oral and Maxillofacial Surgery (Dentist) based in Scotts Valley, CA and is specialized in Oral and Maxillofacial Surgery. Corrine Ann Cline-fortunato practices in Scotts Valley, CA and has the professional credentials of DDS. The NPI Number for Corrine Ann Cline-fortunato is 1225142649 and holds a License No. 41379 (California).

The current practice location address for Corrine Ann Cline-fortunato is 223 Mount Hermon Road, Scotts Valley, CA and can be reached out via phone at 831-430-9910 and via fax at 831-430-9914.

Location: 223 Mount Hermon Road, Scotts Valley, CA, 95066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225142649
Provider Name
Corrine Ann Cline-fortunato
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
223 Mount Hermon Road, Scotts Valley, CA, 95066
Phone Number
831-430-9910
Fax Number
831-430-9914
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1098 01 CA ANESTHESIA LICENSE
1098 01 CA GA PERMIT
institution
Provider Business Practice Location Address Details
Address
223 Mount Hermon Road
City
Scotts Valley
State
California
Zip
95066
Phone Number
831-430-9910
Fax Number
831-430-9914
person
Provider Business Mailing Address Details
Address
223 Mount Hermon Road
City
Scotts Valley
State
California
Zip
95066
Phone Number
831-430-9910
Fax Number
831-430-9914
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
41379 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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