Crisdental Newberg LLC

NPI #1285024885 in Newberg, Oregon

Provider Information

NPI Number: 1285024885
Entity Type: Organization
Organization Name: Crisdental Newberg LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CRISDENTAL GROUP PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 3, 2015
Last Updated: Feb 3, 2015

Practice Location

Address: 710 FOOTHILLS DR
City: Newberg
State: Oregon
ZIP Code: 97132-6124
Phone: (541) 672-2747

Authorized Official

Name: DR. MICHAEL J BRATLAND, DMD
Title: OWNER
Phone: (541) 672-2747

Specialties & Taxonomy Codes

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

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