Equity Dental Clinics Burns, LLC

NPI #1568283398 in Burns, Oregon

Provider Information

NPI Number: 1568283398
Entity Type: Organization
Organization Name: Equity Dental Clinics Burns, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2024
Last Updated: Oct 23, 2024

Practice Location

Address: 711 PONDEROSA VLG
City: Burns
State: Oregon
ZIP Code: 97720-2315
Phone: (541) 680-9028

Authorized Official

Name: MIKE SHIRTCLIFF, DMD
Title: PRESIDENT
Phone: (541) 680-9028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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