Brookings Dental Group, LLC

NPI #1457884934 in Brookings, Oregon

Provider Information

NPI Number: 1457884934
Entity Type: Organization
Organization Name: Brookings Dental Group, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 11, 2017
Last Updated: Apr 11, 2017

Practice Location

Address: 565 5TH ST
Address 2: 2
City: Brookings
State: Oregon
ZIP Code: 97415-9724
Phone: (541) 469-5371

Authorized Official

Name: DR. TIMOTHY RAY HARBOLT, DMD
Title: MANAGING DENTIST
Phone: (541) 469-5371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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