Rogue Valley Dental Center Llc | |
1150 Crater Lake Ave Suite E Medford OR 97504-6213 | |
(541) 779-4517 | |
(541) 779-4605 |
Full Name | Rogue Valley Dental Center Llc |
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Speciality | Dentist - General Practice |
Location | 1150 Crater Lake Ave, Medford, Oregon |
Authorized Official Name and Position | Keith Berg (OWNER) |
Authorized Official Contact | 5417794517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rogue Valley Dental Center Llc 1150 Crater Lake Ave Suite E Medford OR 97504-6213 Ph: (541) 779-4517 | Rogue Valley Dental Center Llc 1150 Crater Lake Ave Suite E Medford OR 97504-6213 Ph: (541) 779-4517 |
NPI Number | 1871900365 |
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Provider Enumeration Date | 07/16/2014 |
Last Update Date | 07/16/2014 |
Identifier | Type | State | Issuer |
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1871900365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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