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Eugene Dental Group

NPI #1306221445 in Eugene, Oregon

Provider Information

NPI Number
1306221445
Entity Type
Organization
Organization Name
Eugene Dental Group
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 29, 2015
Last Updated
Jul 29, 2015

Practice Location

Address
4750 VILLAGE PLAZA LOOP
Address 2
SUITE 200
City
Eugene
State
Oregon
ZIP Code
97401-6601
Phone
(541) 683-8646

Authorized Official

Name
ELIZABETH A. VIVONA, D.D.S.
Title
DENTIST
Phone
(541) 683-8646

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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