Organization · NPI-2

Affordable Dentures & Implants - Medford, P.C.

Dentist · Medford, OR

NPI number1992338990
StatusActive
Last updated in NPPESFeb 18, 2020

Details

NPI
1992338990
Entity type
Organization (NPI-2)
Legal business name
Affordable Dentures & Implants - Medford, P.C.
Organization subpart
No
Enumeration date
Feb 18, 2020
Certification date
Feb 18, 2020
Last updated
Feb 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

920 Biddle Rd
Medford, OR 97504-6118

Phone 541-779-4336

Mailing address

920 Biddle Rd
Medford, OR 97504-6118

Phone 541-779-4336

Authorized official

Eric Eltzroth
Owner
5417794336

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