Marshall Street Dental Clinic

NPI #1245417450 in Bend, Oregon

Provider Information

NPI Number: 1245417450
Entity Type: Organization
Organization Name: Marshall Street Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 30, 2008
Last Updated: Jan 30, 2008

Practice Location

Address: 344 NE MARSHALL AVE
City: Bend
State: Oregon
ZIP Code: 97701-4346
Phone: (541) 389-1704

Authorized Official

Name: DR. RALPH MICHAEL SHIRTCLIFF, DMD
Title: DENTIST/OWNER/PRESIDENT
Phone: (541) 389-1704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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