Chief Joseph Dental Clinic, LLC

NPI #1285947721 in Joseph, Oregon

Provider Information

NPI Number: 1285947721
Entity Type: Organization
Organization Name: Chief Joseph Dental Clinic, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 26, 2010
Last Updated: Jul 26, 2010

Practice Location

Address: 401 B NORTH MAIN STREET
City: Joseph
State: Oregon
ZIP Code: 97846
Phone: (541) 432-6555

Authorized Official

Name: DR. STEVEN R ZOLLMAN
Title: OWNER
Phone: (541) 432-6555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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