Applegate Valley Dental, Inc.
NPI #1477939494 in Jacksonville, Oregon
Provider Information
- NPI Number
- 1477939494
- Entity Type
- Organization
- Organization Name
- Applegate Valley Dental, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 31, 2015
- Last Updated
- Jul 31, 2015
Practice Location
- Address
- 181 UPPER APPLEGATE RD
- Address 2
- SUITE 20
- City
- Jacksonville
- State
- Oregon
- ZIP Code
- 97530-9739
- Phone
- (541) 899-7824
Authorized Official
- Name
- DR. THOMAS GLENN BROOKS, DMD
- Title
- PART OWNER
- Phone
- (541) 855-7920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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Organizations
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