Lebanon Family Dental | |
100 E Oak St Lebanon OR 97355-4135 | |
(541) 451-1176 | |
(541) 451-1424 |
Full Name | Lebanon Family Dental |
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Speciality | Clinic/center - Dental |
Location | 100 E Oak St, Lebanon, Oregon |
Authorized Official Name and Position | Geoffrey W Blatter (PRESIDENT) |
Authorized Official Contact | 5416000280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lebanon Family Dental 1305 Se 13th Pl Canby OR 97013-4352 Ph: () - | Lebanon Family Dental 100 E Oak St Lebanon OR 97355-4135 Ph: (541) 451-1176 |
NPI Number | 1528585775 |
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Provider Enumeration Date | 08/28/2017 |
Last Update Date | 08/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528585775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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