Basin Dental Care, P.c. | |
2530 Shasta Way Klamath Falls OR 97601-4356 | |
(541) 884-4550 | |
(541) 884-4676 |
Full Name | Basin Dental Care, P.c. |
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Speciality | Dentist - General Practice |
Location | 2530 Shasta Way, Klamath Falls, Oregon |
Authorized Official Name and Position | Owen Jeffrey Leroy (OWNER/DENTIST) |
Authorized Official Contact | 5418844550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Basin Dental Care, P.c. 2530 Shasta Way Klamath Falls OR 97601-4356 Ph: (541) 884-4550 | Basin Dental Care, P.c. 2530 Shasta Way Klamath Falls OR 97601-4356 Ph: (541) 884-4550 |
NPI Number | 1770751224 |
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Provider Enumeration Date | 02/19/2008 |
Last Update Date | 02/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770751224 | NPI | - | NPPES |
10844-9 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4448 (Oregon) | Primary |
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