Jed R. Norman DDS LLC

NPI #1902244619 in Roseburg, Oregon

Provider Information

NPI Number: 1902244619
Entity Type: Organization
Organization Name: Jed R. Norman DDS LLC
Primary Specialty: Dentist
Enumeration Date: Jun 5, 2013
Last Updated: Jun 5, 2013

Practice Location

Address: 1813 W HARVARD AVE STE 221
City: Roseburg
State: Oregon
ZIP Code: 97471-8704
Phone: (541) 672-6511

Authorized Official

Name: JED R NORMAN, DDS
Title: OWNER/DENTIST
Phone: (541) 672-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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