Michael B Desjardin Dentisty, P.c.

NPI #1376889311 in John Day, Oregon

Provider Information

NPI Number: 1376889311
Entity Type: Organization
Organization Name: Michael B Desjardin Dentisty, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 19, 2012
Last Updated: Dec 19, 2012

Practice Location

Address: 208 NW CANTON ST
City: John Day
State: Oregon
ZIP Code: 97845-1145
Phone: (541) 575-2725

Authorized Official

Name: DR. MICHAEL B DESJARDIN, D.M.D.
Title: PRESIDENT
Phone: (541) 575-2725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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