institution
Gold Beach Family Dental Inc
Dental Clinic/Center in Gold Beach, Oregon
NPI 1538266713

Gold Beach Family Dental Inc is a Dental Clinic/Center based in Gold Beach, OR and is specialized in Dental. Gold Beach Family Dental Inc practices in Gold Beach, OR. The NPI Number for Gold Beach Family Dental Inc is 1538266713 and holds a License No. 4990 (Oregon).

The current practice location address for Gold Beach Family Dental Inc is 94223 4Th St, Gold Beach, OR and can be reached out via phone at 541-247-7332 and via fax at 541-247-9204.

Location: 94223 4Th St, Gold Beach, OR, 97444
institution
Provider Profile Details
NPI Number
1538266713
Provider Name
Gold Beach Family Dental Inc
Credential
Provider Entity Type
Organization
Address
94223 4Th St, Gold Beach, OR, 97444
Phone Number
541-247-7332
Fax Number
541-247-9204
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
215277 01 OR OMAP
IJUP6C-00 01 OR OHP
institution
Provider Business Practice Location Address Details
Address
94223 4Th St
City
State
Zip
97444
Phone Number
541-247-7332
Fax Number
541-247-9204
person
Provider Business Mailing Address Details
Address
94223 4Th St
City
State
Zip
97444
Phone Number
541-247-7332
Fax Number
541-247-9204
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
4990 (Oregon)
Definition
Definition to come...
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