Michael B Desjardin Dentisty, P.c. | |
208 Nw Canton St John Day OR 97845-1145 | |
(541) 575-2725 | |
(541) 575-2635 |
Full Name | Michael B Desjardin Dentisty, P.c. |
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Speciality | Dentist - General Practice |
Location | 208 Nw Canton St, John Day, Oregon |
Authorized Official Name and Position | Michael B Desjardin (PRESIDENT) |
Authorized Official Contact | 5415752725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael B Desjardin Dentisty, P.c. 208 Nw Canton St John Day OR 97845-1145 Ph: (541) 575-2725 | Michael B Desjardin Dentisty, P.c. 208 Nw Canton St John Day OR 97845-1145 Ph: (541) 575-2725 |
NPI Number | 1376889311 |
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Provider Enumeration Date | 12/19/2012 |
Last Update Date | 12/19/2012 |
Identifier | Type | State | Issuer |
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1376889311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | D6163 (Oregon) | Primary |