Northwest Dental Group, Pc-lapine

NPI 1467596528 - Dentist - 1223G0001X

NPI Details
NPI 1467596528
Enumeration Date 02/20/2007
Last Updated 03/31/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JONATHAN A JONATHAN
Position PRESIDENT
Phone (541) 536-0264
Fax (541) 536-0266
Practice Location
16475 BLUEWOOD PLACE
LAPINE OR, 97739-2999, US
Phone (541) 536-0264
Fax (541) 536-0266
Business Location
16475 BLUEWOOD PLACE
PO BOX 2999
LAPINE OR, 97739-2999, US
Phone (541) 536-0264
Fax (541) 536-0266
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D7823
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According to our database, Northwest Dental Group, Pc-lapine NPI is 1467596528, taxonomy code is 1223G0001X and license number is D7823, license state is located at Oregon. Northwest Dental Group, Pc-lapine physically located at 16475 Bluewood Place, Lapine OR, 97739-2999. NPI Number 1033115704 has the healthcare provider type.

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1467596528 NPI number is provided on an as is basis without warranty of any kind. 1467596528 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Dental Group, Pc-lapine are for informational purposes only.