Corvallis Dental Group INC
NPI #1689694291 in Corvallis, Oregon
Provider Information
- NPI Number
- 1689694291
- Entity Type
- Organization
- Organization Name
- Corvallis Dental Group INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- JUDITH A SLACK
- Title
- OFFICE MANAGER
- Phone
- (541) 754-6116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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