Mosaic Medical Dental

NPI #1942738588 in Redmond, Oregon

Provider Information

NPI Number
1942738588
Entity Type
Organization
Organization Name
Mosaic Medical Dental
Subpart
Yes (part of a larger organization)
Parent Organization
MOSAIC MEDICAL
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 26, 2017
Last Updated
May 26, 2017

Practice Location

Address
1250 SW VETERANS WAY
State
Oregon
ZIP Code
97756-2585
Phone
(541) 923-4462

Authorized Official

Name
VANESSA LANGLEY
Title
CREDENTIALING SPECIALIST
Phone
(541) 383-3005

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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