Family Dental Clinic
NPI #1629487897 in Prineville, Oregon
Provider Information
- NPI Number
- 1629487897
- Entity Type
- Organization
- Organization Name
- Family Dental Clinic
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 12, 2014
- Last Updated
- Aug 12, 2014
Practice Location
- Address
- 607 NE 3RD ST
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-2021
- Phone
- (541) 447-3855
Authorized Official
- Name
- JAMES G. PETERSEN
- Title
- OWNER/DENTIST
- Phone
- (541) 447-3855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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