Centennial Family Dental PC
NPI #1124858477 in Springfield, Oregon
Provider Information
- NPI Number
- 1124858477
- Entity Type
- Organization
- Organization Name
- Centennial Family Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 2, 2024
- Last Updated
- Aug 2, 2024
Practice Location
- Address
- 1290 W CENTENNIAL BLVD
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97477-3566
- Phone
- (541) 741-0602
Authorized Official
- Name
- JODY LYNN GREGERSEN, CDA, EFDA
- Title
- OFFICE MANAGER
- Phone
- (541) 741-0602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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