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1043651896
CRISDENTAL MOBILE, LLC
ROSEBURG, OR
NPI
1043651896
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Entity Type
Organization
Authorized Contact
MICHAEL JAMES BRATLAND
Owner
541-672-2747
Organization Subpart ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2013-07-09
Last Update Date
2013-07-09
Business Address
CRISDENTAL MOBILE, LLC
2530 NW MEDICAL PARK DR
ROSEBURG, OR 97471-5510
Phone number: 541-673-6511
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Mailing Address
CRISDENTAL MOBILE, LLC
3019 NW STEWART PKWY STE 304, BOX 249
ROSEBURG, OR 97471-1602
Phone number: 541-672-2747
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