EASTERN OREGON DENTAL CLINIC LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1609043157- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 475 SW 12TH ST, ONTARIO, OR, 979143201
- Phone
- (541) 881-1794
- Fax
- (541) 889-2904
Specialties & Taxonomies
Dentist
License: OR #D9048
Dentist
License: OR #D6574
Dentist
License: OR #D7219
Dentist, Endodontics
License: OR #D9048
Dentist, Endodontics
License: OR #D6574
Dentist, Endodontics
License: OR #D7219
Dentist, General Practice
License: OR #D9048
Dentist, General Practice
License: OR #D7219
Dentist, Periodontics
License: OR #D6574
Dentist, Periodontics
License: OR #D9048
Dentist, Periodontics
License: OR #D7219
Dentist, Oral and Maxillofacial Surgery
License: OR #D9048
Dentist, Oral and Maxillofacial Surgery
License: OR #D6574
Dentist, Oral and Maxillofacial Surgery
License: OR #D7219
Dentist, General Practice
Primary License: OR #D6574