Medical Center Dental Office, LLC

NPI #1649584400 in Pendleton, Oregon

Provider Information

NPI Number: 1649584400
Entity Type: Organization
Organization Name: Medical Center Dental Office, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 3, 2010
Last Updated: Aug 3, 2010

Practice Location

Address: 1100 SOUTHGATE STE 17
City: Pendleton
State: Oregon
ZIP Code: 97801-3971
Phone: (541) 276-1561

Authorized Official

Name: DR. DONALD ROBERT BENSCHOTER, DMD
Title: DENTIST/SOLE MEMBER
Phone: (541) 276-1561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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