Jeffrey Nils Korsnes, DDS, MS Valid NPI
Individual provider · Periodontics · Fpo, AP
- NPI
- 1962492447
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- License number
- 2901015048 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-10-25
- Last updated
- 2022-07-21
Practice location
3d Dental Battalion/Us Naval Dental Denter, 3d Mlg, Camp Hansen, Unit 38452,
Fpo, AP 96604-0259
011816453085