| Cris Dental Group Pc | |
|
1333 W Harvard Ave Roseburg OR 97471-2838 | |
| (541) 672-2747 | |
| (541) 672-2757 |
| Full Name | Cris Dental Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 1333 W Harvard Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Michael J Bratland (OWNER) |
| Authorized Official Contact | 5416722747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cris Dental Group Pc 3019 Nw Stewart Pkwy Ste 304 Roseburg OR 97471-1602 Ph: (541) 672-2747 | Cris Dental Group Pc 1333 W Harvard Ave Roseburg OR 97471-2838 Ph: (541) 672-2747 |
| NPI Number | 1770858128 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770858128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8594 (Oregon) | Primary |
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