Advantage Harbor Qalicb, LLC

NPI #1316368608 in Redmond, Oregon

Provider Information

NPI Number
1316368608
Entity Type
Organization
Organization Name
Advantage Harbor Qalicb, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 3, 2014
Last Updated
Jan 3, 2014

Practice Location

Address
442 SW UMATILLA AVE STE 200
State
Oregon
ZIP Code
97756-7039
Phone
(541) 504-3900

Authorized Official

Name
JEANNE DYSERT
Title
EXEC VP OF OPERATIONS
Phone
(541) 504-3900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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