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Bandon Coastal Dental, Llc
Clinic/Center in Bandon, Oregon
NPI 1063756401

Bandon Coastal Dental, Llc is a Clinic/Center based in Bandon, OR. Bandon Coastal Dental, Llc practices in Bandon, OR. The NPI Number for Bandon Coastal Dental, Llc is 1063756401 and holds a License No. D9802 (Oregon).

The current practice location address for Bandon Coastal Dental, Llc is 1097 Baltimore Ave, Bandon, OR and can be reached out via phone at 541-329-0550.

Location: 1097 Baltimore Ave, Bandon, OR, 97411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063756401
Provider Name
Bandon Coastal Dental, Llc
Credential
Provider Entity Type
Organization
Address
1097 Baltimore Ave, Bandon, OR, 97411
Phone Number
541-329-0550
Fax Number
Provider Enumeration Date
11/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1097 Baltimore Ave
City
Bandon
State
Oregon
Zip
97411
Phone Number
541-329-0550
Fax Number
person
Provider Business Mailing Address Details
Address
1097 Baltimore Ave
City
Bandon
State
Oregon
Zip
97411
Phone Number
541-329-0550
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
D9802 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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