Northwest Dental Associates -Medford LLC

NPI #1851833131 in Medford, Oregon

Provider Information

NPI Number: 1851833131
Entity Type: Organization
Organization Name: Northwest Dental Associates -Medford LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 17, 2016
Last Updated: Nov 17, 2016

Practice Location

Address: 3551 E BARNETT RD
Address 2: SUITE 101
City: Medford
State: Oregon
ZIP Code: 97504-7037
Phone: (541) 779-3993

Authorized Official

Name: MRS. DEBORAH HART
Title: OFFICE MANAGER
Phone: (541) 779-3993

Specialties & Taxonomy Codes

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

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