Crisdental Eagle Point LLC
NPI #1326454679 in Eagle Point, Oregon
Provider Information
- NPI Number
- 1326454679
- Entity Type
- Organization
- Organization Name
- Crisdental Eagle Point LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CRISDENTAL GROUP PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 8, 2014
- Last Updated
- Jul 8, 2014
Practice Location
- Address
- 217 W MAIN ST
- City
- Eagle Point
- State
- Oregon
- ZIP Code
- 97524-0450
- Phone
- (541) 672-2747
Authorized Official
- Name
- MR. MICHAEL BRATLAND, DDS
- Title
- OWNER
- Phone
- (541) 672-2747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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