Crisdental Grants Pass LLC
NPI #1790239697 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1790239697
- Entity Type
- Organization
- Organization Name
- Crisdental Grants Pass LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CRISDENTAL GROUP PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 9, 2016
- Last Updated
- Aug 9, 2016
Practice Location
- Address
- 934 NE 8TH ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1641
- Phone
- (541) 492-1687
Authorized Official
- Name
- DR. MICHAEL J BRATLAND, DMD
- Title
- OWNER
- Phone
- (541) 492-1687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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