James G Mcmahan DMD

NPI 1063412302 - Dentist - 1223G0001X

NPI Details
NPI 1063412302
Gender Male
Enumeration Date 07/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
504 4TH ST
LA GRANDE OR, 97850-1906, US
Phone (541) 963-5632
Fax (541) 963-4584
Business Location
504 4TH ST
LA GRANDE OR, 97850-1906, US
Phone (541) 963-5632
Fax (541) 963-4584
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number 5974
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According to our database, Dr. James G Mcmahan DMD NPI is 1063412302, taxonomy code is 1223G0001X and license number is 5974, license state is located at Oregon. James G Mcmahan DMD physically located at 504 4th St, La Grande OR, 97850-1906. NPI Number James G Mcmahan DMD has the Individual type.

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1063412302 NPI number is provided on an as is basis without warranty of any kind. 1063412302 is maintained by the National Plan & Provider Enumeration System. The contents of James G Mcmahan DMD are for informational purposes only.