East Main Dental Center, LLP

NPI #1700819596 in Medford, Oregon

Provider Information

NPI Number: 1700819596
Entity Type: Organization
Organization Name: East Main Dental Center, LLP
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1123 E MAIN ST
City: Medford
State: Oregon
ZIP Code: 97504-7434
Phone: (541) 773-3422

Authorized Official

Name: MRS. TONYA LYNN SOWLES
Title: OFFICE MANAGER
Phone: (541) 773-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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