| Northwest Dental Group, Pc-lapine | |
|
16475 Bluewood Place Lapine OR 97739-2999 | |
| (541) 536-0264 | |
| (541) 536-0266 |
| Full Name | Northwest Dental Group, Pc-lapine |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16475 Bluewood Place, Lapine, Oregon |
| Authorized Official Name and Position | Jonathan A Yang (PRESIDENT) |
| Authorized Official Contact | 5415360264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dental Group, Pc-lapine 16475 Bluewood Place Po Box 2999 Lapine OR 97739-2999 Ph: (541) 536-0264 | Northwest Dental Group, Pc-lapine 16475 Bluewood Place Lapine OR 97739-2999 Ph: (541) 536-0264 |
| NPI Number | 1467596528 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467596528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7823 (Oregon) | Primary |