Redwood Family Dental Care

NPI #1992010219 in Grants Pass, Oregon

Provider Information

NPI Number: 1992010219
Entity Type: Organization
Organization Name: Redwood Family Dental Care
Primary Specialty: Dentist
Enumeration Date: Aug 11, 2010
Last Updated: Aug 13, 2010

Practice Location

Address: 1867 REDWOOD AVE
Address 2: SUITE 14
City: Grants Pass
State: Oregon
ZIP Code: 97527-6408
Phone: (541) 474-2775

Authorized Official

Name: DR. NATHAN MILO TANNER, D.M.D.
Title: DENTIST
Phone: (360) 989-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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