| Ortho Country Orthodontics Llc | |
|
1300 Ne Alpha Dr Mcminnville OR 97128-9711 | |
| (512) 947-8916 | |
| Not Available |
| Full Name | Ortho Country Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1300 Ne Alpha Dr, Mcminnville, Oregon |
| Authorized Official Name and Position | Kent Jensen (CFO) |
| Authorized Official Contact | 5034728320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ortho Country Orthodontics Llc 1300 Ne Alpha Dr Mcminnville OR 97128-9711 Ph: (512) 947-8916 | Ortho Country Orthodontics Llc 1300 Ne Alpha Dr Mcminnville OR 97128-9711 Ph: (512) 947-8916 |
| NPI Number | 1790169217 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790169217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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