Rogue Dental Sleep Solutions LLC
NPI #1225670623 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1225670623
- Entity Type
- Organization
- Organization Name
- Rogue Dental Sleep Solutions LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 17, 2019
- Last Updated
- Dec 9, 2019
Practice Location
- Address
- 124 NE EVELYN AVE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1427
- Phone
- (206) 818-0492
Authorized Official
- Name
- MICHAEL HOLM, DDS
- Title
- OWNER
- Phone
- (206) 818-0492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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