| Eric N Dahle Dmd Pc | |
|
478 Sw 12th St Ontario OR 97914-3202 | |
| (541) 881-1794 | |
| (541) 889-2904 |
| Full Name | Eric N Dahle Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 478 Sw 12th St, Ontario, Oregon |
| Authorized Official Name and Position | Eric N Dahle (PRESIDENT) |
| Authorized Official Contact | 5418811794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric N Dahle Dmd Pc 478 Sw 12th St Ontario OR 97914-3202 Ph: (541) 881-1794 | Eric N Dahle Dmd Pc 478 Sw 12th St Ontario OR 97914-3202 Ph: (541) 881-1794 |
| NPI Number | 1952572992 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 08/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952572992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6574 (Oregon) | Primary |
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