| Mcminnville Dental Group | |
|
2550 Ne Mcdonald Ln Mcminnville OR 97128-2223 | |
| (503) 472-2181 | |
| Not Available |
| Full Name | Mcminnville Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2550 Ne Mcdonald Ln, Mcminnville, Oregon |
| Authorized Official Name and Position | Laura Marcoullier (DENTIST) |
| Authorized Official Contact | 5034722181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcminnville Dental Group 2550 Ne Mcdonald Ln Mcminnville OR 97128-2223 Ph: (503) 472-2181 | Mcminnville Dental Group 2550 Ne Mcdonald Ln Mcminnville OR 97128-2223 Ph: (503) 472-2181 |
| NPI Number | 1194083428 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194083428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7797 (Oregon) | Primary |
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