JASEN SCOTT DEBRINE
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1366014730- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1640 G ST, SPRINGFIELD, OR, 97477
- Phone
- (541) 484-2046
- Fax
- (801) 798-1186
Specialties & Taxonomies
Dentist, General Practice
Primary License: OR #D12095