Medford Dental Clinic, LLC

NPI #1619230174 in Medford, Oregon

Provider Information

NPI Number: 1619230174
Entity Type: Organization
Organization Name: Medford Dental Clinic, LLC
Primary Specialty: Dentist
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 3551 E BARNETT RD STE 101
City: Medford
State: Oregon
ZIP Code: 97504-7037
Phone: (541) 772-5755

Authorized Official

Name: MR. ADAM P CRAMER, DDS
Title: PRESIDENT
Phone: (360) 357-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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