Pahls Dentistry Pc | |
346 N. Central Blvd Coquille OR 97423 | |
(541) 396-2242 | |
(541) 396-3860 |
Full Name | Pahls Dentistry Pc |
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Speciality | Dentist |
Location | 346 N. Central Blvd, Coquille, Oregon |
Authorized Official Name and Position | Christian Brent Pahls (GENERAL DENTIST) |
Authorized Official Contact | 5413962242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pahls Dentistry Pc 346 N. Central Blvd Coquille OR 97423 Ph: (541) 396-2242 | Pahls Dentistry Pc 346 N. Central Blvd Coquille OR 97423 Ph: (541) 396-2242 |
NPI Number | 1730417106 |
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Provider Enumeration Date | 11/24/2009 |
Last Update Date | 11/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730417106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D8932 (Oregon) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | D8651 (Oregon) | Secondary |