Waterfall Clinic Incorporated
NPI #1700522489 in North Bend, Oregon
Provider Information
- NPI Number
- 1700522489
- Entity Type
- Organization
- Organization Name
- Waterfall Clinic Incorporated
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 6, 2022
- Last Updated
- May 6, 2022
Practice Location
- Address
- 1885 WAITE STREET
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459
- Phone
- (541) 756-6232
Authorized Official
- Name
- ANDREA TRENNER
- Title
- CEO
- Phone
- (541) 756-6232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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