Northwest Dental Group, Pc-Lapine

NPI #1467596528 in Lapine, Oregon

Provider Information

NPI Number: 1467596528
Entity Type: Organization
Organization Name: Northwest Dental Group, Pc-Lapine
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 20, 2007
Last Updated: Mar 31, 2008

Practice Location

Address: 16475 BLUEWOOD PLACE
City: Lapine
State: Oregon
ZIP Code: 97739-2999
Phone: (541) 536-0264

Authorized Official

Name: DR. JONATHAN A YANG, DDS
Title: PRESIDENT
Phone: (541) 536-0264

Specialties & Taxonomy Codes

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

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