Applegate Valley Dental INC
NPI #1750767661 in Jacksonville, Oregon
Provider Information
- NPI Number
- 1750767661
- Entity Type
- Organization
- Organization Name
- Applegate Valley Dental INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 3, 2015
- Last Updated
- Aug 3, 2015
Practice Location
- Address
- 181 UPPER APPLEGATE RD
- Address 2
- SUITE 20
- City
- Jacksonville
- State
- Oregon
- ZIP Code
- 97530-9739
- Phone
- (541) 899-7824
Authorized Official
- Name
- DR. MICHAEL BOLDT, DMD
- Title
- PART OWNER
- Phone
- (541) 772-2756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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