Fourth Street Family Dental, PC

NPI #1447672142 in Hermiston, Oregon

Provider Information

NPI Number
1447672142
Entity Type
Organization
Organization Name
Fourth Street Family Dental, PC
Primary Specialty
Dentist
Enumeration Date
Jan 15, 2014
Last Updated
Jan 15, 2014

Practice Location

Address
530 SE 4TH ST
State
Oregon
ZIP Code
97838-2416
Phone
(541) 567-1693

Authorized Official

Name
MR. GREGORY B JONES, DMD
Title
OWNER
Phone
(541) 567-1693

Specialties & Taxonomy Codes

Specialty
Dentist

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