Oregon Dental LLC

NPI #1225516073 in Oregon, Illinois

Provider Information

NPI Number
1225516073
Entity Type
Organization
Organization Name
Oregon Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 3, 2018
Last Updated
Aug 3, 2018

Practice Location

Address
1307 W WASHINGTON ST STE 130
City
Oregon
ZIP Code
61061-1001
Phone
(815) 732-6911

Authorized Official

Name
BRAD BRUBAKER
Title
COO
Phone
(815) 938-2575

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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