Equity Dental Clinics Brookings, LLC

NPI #1750113940 in Brookings, Oregon

Provider Information

NPI Number: 1750113940
Entity Type: Organization
Organization Name: Equity Dental Clinics Brookings, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 15, 2024
Last Updated: Sep 5, 2024

Practice Location

Address: 648 CHETCO AVE
City: Brookings
State: Oregon
ZIP Code: 97415-8010
Phone: (541) 216-4469

Authorized Official

Name: DR. MIKE SHIRTCLIFF, DMD
Title: PRESIDENT
Phone: (541) 680-9028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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