Bandon Coastal Dental, Llc

NPI 1063756401 - Clinic/Center - 261Q00000X

NPI Details
NPI 1063756401
Enumeration Date 11/26/2012
Last Updated 11/26/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PAUL MORRIS PAUL
Position OWNER
Phone (541) 329-0550
Fax
Practice Location
1097 BALTIMORE AVE
BANDON OR, 97411, US
Phone (541) 329-0550
Fax
Business Location
PO BOX 429
1097 BALTIMORE AVE
BANDON OR, 97411, US
Phone (541) 329-0550
Fax (541) 329-0309
Toxanomy
Taxonomy Code 261Q00000X
License State Oregon
License Number D9802
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According to our database, Bandon Coastal Dental, Llc NPI is 1063756401, taxonomy code is 261Q00000X and license number is D9802, license state is located at Oregon. Bandon Coastal Dental, Llc physically located at 1097 Baltimore Ave, Bandon OR, 97411. NPI Number 1033115704 has the healthcare provider type.

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1063756401 NPI number is provided on an as is basis without warranty of any kind. 1063756401 is maintained by the National Plan & Provider Enumeration System. The contents of Bandon Coastal Dental, Llc are for informational purposes only.