institution
Southern Oregon Periodontics, Pc
Dental Clinic/Center in Medford, Oregon
NPI 1588848055

Southern Oregon Periodontics, Pc is a Dental Clinic/Center based in Medford, OR and is specialized in Dental. Southern Oregon Periodontics, Pc practices in Medford, OR. The NPI Number for Southern Oregon Periodontics, Pc is 1588848055 and holds a License No. D8707 (Oregon).

The current practice location address for Southern Oregon Periodontics, Pc is 1762 E Mcandrews Rd Ste B, Medford, OR and can be reached out via phone at 541-773-9222.

Location: 1762 E Mcandrews Rd Ste B, Medford, OR, 97504-5577
institution
Provider Profile Details
NPI Number
1588848055
Provider Name
Southern Oregon Periodontics, Pc
Credential
Provider Entity Type
Organization
Address
1762 E Mcandrews Rd Ste B, Medford, OR, 97504-5577
Phone Number
541-773-9222
Fax Number
Provider Enumeration Date
12/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1762 E Mcandrews Rd Ste B
City
State
Zip
97504-5577
Phone Number
541-773-9222
Fax Number
person
Provider Business Mailing Address Details
Address
1762 E Mcandrews Rd Ste B
City
State
Zip
97504-5577
Phone Number
541-773-9222
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D8707 (Oregon)
Definition
Definition to come...
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