Mcminnville Dental Group
NPI #1194083428 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1194083428
- Entity Type
- Organization
- Organization Name
- Mcminnville Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 2550 NE MCDONALD LN
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-2223
- Phone
- (503) 472-2181
Authorized Official
- Name
- LAURA MARCOULLIER, DMD
- Title
- DENTIST
- Phone
- (503) 472-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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