Rogue Valley Dental Center

NPI #1760752141 in Medford, Oregon

Provider Information

NPI Number: 1760752141
Entity Type: Organization
Organization Name: Rogue Valley Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 3, 2012
Last Updated: Jan 3, 2012

Practice Location

Address: 1150 CRATER LAKE AVE
Address 2: STE E
City: Medford
State: Oregon
ZIP Code: 97504-6213
Phone: (541) 779-4517

Authorized Official

Name: KEITH BERG
Title: OWNER
Phone: (541) 779-4517

Specialties & Taxonomy Codes

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

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