Basin Dental Care, P.c.

NPI #1770751224 in Klamath Falls, Oregon

Provider Information

NPI Number
1770751224
Entity Type
Organization
Organization Name
Basin Dental Care, P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 19, 2008
Last Updated
Feb 19, 2008

Practice Location

Address
2530 SHASTA WAY
State
Oregon
ZIP Code
97601-4356
Phone
(541) 884-4550

Authorized Official

Name
DR. OWEN JEFFREY LEROY, D.M.D.
Title
OWNER/DENTIST
Phone
(541) 884-4550

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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