Accessible Mobile Dental Hygiene Llc | |
1108 Sw Ironwood Dr Grants Pass OR 97526-6900 | |
(541) 476-8338 | |
Not Available |
Full Name | Accessible Mobile Dental Hygiene Llc |
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Speciality | Clinic/center - Dental |
Location | 1108 Sw Ironwood Dr, Grants Pass, Oregon |
Authorized Official Name and Position | John M Tripp (OWNER) |
Authorized Official Contact | 5412951264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Accessible Mobile Dental Hygiene Llc Po Box 1597 Grants Pass OR 97528-0135 Ph: (541) 476-8338 | Accessible Mobile Dental Hygiene Llc 1108 Sw Ironwood Dr Grants Pass OR 97526-6900 Ph: (541) 476-8338 |
NPI Number | 1073872941 |
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Provider Enumeration Date | 05/11/2012 |
Last Update Date | 05/11/2012 |
Identifier | Type | State | Issuer |
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1073872941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Accessible Mobile Dental Hygiene Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4542 Averill Dr, Grants Pass, OR 97526 Phone: 541-295-1264 | |
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