South Umpqua Family Dental PC
NPI #1659675338 in Riddle, Oregon
Provider Information
- NPI Number
- 1659675338
- Entity Type
- Organization
- Organization Name
- South Umpqua Family Dental PC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 10, 2011
- Last Updated
- Jan 10, 2011
Practice Location
Authorized Official
- Name
- ERIC D CORNELIUS, DDS
- Title
- PRESIDENT/SECRETARY
- Phone
- (541) 874-3126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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