| Cornerstone Dentistry, Llc | |
|
10100 N Mcalister Rd Island City OR 97850-8701 | |
| (541) 963-6445 | |
| (541) 963-9012 |
| Full Name | Cornerstone Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10100 N Mcalister Rd, Island City, Oregon |
| Authorized Official Name and Position | Brian L Kruse (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 5419636445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dentistry, Llc 10100 N Mcalister Rd Island City OR 97850-8701 Ph: (541) 963-6445 | Cornerstone Dentistry, Llc 10100 N Mcalister Rd Island City OR 97850-8701 Ph: (541) 963-6445 |
| NPI Number | 1750838694 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750838694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7796 (Oregon) | Primary |
Sea Brite Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10609 S Walton Rd, Island City, OR 97850 Phone: 541-963-2741 Fax: 541-963-7439 |