Anthony Ray Belisle JR. L.D.

NPI 1740413012 - Dental Laboratory Technician - 126900000X

NPI Details
NPI 1740413012
Gender Male
Enumeration Date 09/02/2009
Last Updated 09/02/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
965 S 1ST ST
COOS BAY OR, 97420-1401, US
Phone (541) 267-7278
Fax (541) 269-4613
Business Location
PO BOX 3520
COOS BAY OR, 97420-0418, US
Phone (541) 267-7278
Fax (541) 269-4613
Toxanomy
Taxonomy Code 126900000X
License State
License Number
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According to our database, Mr. Anthony Ray Belisle JR. L.D. NPI is 1740413012, taxonomy code is 126900000X Anthony Ray Belisle JR. L.D. physically located at 965 S 1st St, Coos Bay OR, 97420-1401. NPI Number Anthony Ray Belisle JR. L.D. has the Individual type.

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1740413012 NPI number is provided on an as is basis without warranty of any kind. 1740413012 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Ray Belisle JR. L.D. are for informational purposes only.