Rogue Valley Family Dentistry LLC
NPI #1265815799 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1265815799
- Entity Type
- Organization
- Organization Name
- Rogue Valley Family Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 1, 2015
- Last Updated
- Jul 1, 2015
Practice Location
- Address
- 1873 WILLIAMS HWY STE 1A
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97527-5843
- Phone
- (541) 479-5505
Authorized Official
- Name
- MR. ANDREW DALE GORDON
- Title
- BUISNESS MANAGER
- Phone
- (541) 269-5353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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