| Chief Joseph Dental Clinic, Llc | |
|
401 B North Main Street Joseph OR 97846 | |
| (541) 432-6555 | |
| (541) 432-5051 |
| Full Name | Chief Joseph Dental Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 401 B North Main Street, Joseph, Oregon |
| Authorized Official Name and Position | Steven R Zollman (OWNER) |
| Authorized Official Contact | 5414326555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chief Joseph Dental Clinic, Llc 401 B North Main Street Joseph OR 97846 Ph: (541) 432-6555 | Chief Joseph Dental Clinic, Llc 401 B North Main Street Joseph OR 97846 Ph: (541) 432-6555 |
| NPI Number | 1285947721 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285947721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |