North Coast Dental Clinic, PC

NPI #1154415834 in Warrenton, Oregon

Provider Information

NPI Number
1154415834
Entity Type
Organization
Organization Name
North Coast Dental Clinic, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 3, 2006
Last Updated
Oct 6, 2008

Practice Location

Address
1085 E HARBOR DR
State
Oregon
ZIP Code
97146-0357
Phone
(503) 861-3707

Authorized Official

Name
DR. JON D BLETSCHER, DMD
Title
OFFICER
Phone
(503) 861-3707

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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