South Eugene Dental

NPI #1497841936 in Eugene, Oregon

Provider Information

NPI Number: 1497841936
Entity Type: Organization
Organization Name: South Eugene Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 4, 2006
Last Updated: Jun 2, 2009

Practice Location

Address: 280 W 11TH AVE
City: Eugene
State: Oregon
ZIP Code: 97401-3031
Phone: (541) 342-6160

Authorized Official

Name: DR. CAREY EDWARD COONEY, DMD
Title: OWNER
Phone: (541) 342-6160

Specialties & Taxonomy Codes

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

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