Dental Vision PC

NPI #1376581587 in Grants Pass, Oregon

Provider Information

NPI Number: 1376581587
Entity Type: Organization
Organization Name: Dental Vision PC
Primary Specialty: Dentist
Enumeration Date: Jun 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 934 NE 8TH ST
City: Grants Pass
State: Oregon
ZIP Code: 97526-1641
Phone: (541) 471-7062

Authorized Official

Name: DR. IGOR SHISHKIN, DDS
Title: DOCTOR/PRESIDENT
Phone: (541) 471-7062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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