Grants Pass Dental, LLC
NPI #1699869156 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1699869156
- Entity Type
- Organization
- Organization Name
- Grants Pass Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 118 NE JACKSON ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526
- Phone
- (541) 476-4511
Authorized Official
- Name
- DR. TYLER D WRIGHT, D.M.D.
- Title
- OWNER
- Phone
- (541) 476-4511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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