Family Dentistry of Gold Beach, Inc.
NPI #1649293036 in Gold Beach, Oregon
Provider Information
- NPI Number
- 1649293036
- Entity Type
- Organization
- Organization Name
- Family Dentistry of Gold Beach, Inc.
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 29814 ELLENSBURG AVE
- City
- Gold Beach
- State
- Oregon
- ZIP Code
- 97444-1600
- Phone
- (541) 247-8000
Authorized Official
- Name
- DR. HERMAN LIEM, D. D. S.
- Title
- CEO
- Phone
- (541) 247-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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