Ume Crater Lake LLC

NPI #1326739228 in Medford, Oregon

Provider Information

NPI Number
1326739228
Entity Type
Organization
Organization Name
Ume Crater Lake LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 19, 2023
Last Updated
May 19, 2023

Practice Location

Address
1094 ROYAL CT
State
Oregon
ZIP Code
97504-6138
Phone
(541) 779-4344

Authorized Official

Name
SEAN WASDEN
Title
COO
Phone
(208) 965-9415

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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