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725 2nd St Se Bandon OR 97411-9420 | |
(541) 347-4461 | |
(541) 347-9152 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 725 2nd St Se, Bandon, Oregon |
Authorized Official Name and Position | Richard C Dowling (OWNER DENTIST) |
Authorized Official Contact | 5413474461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 720 Bandon OR 97411-0720 Ph: (541) 347-4461 | 725 2nd St Se Bandon OR 97411-9420 Ph: (541) 347-4461 |
NPI Number | 1669410577 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1669410577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D8249 (Oregon) | Primary |