SAM SCOTT

COOS BAY, OR
NPI1134264021
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  d6512)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- SAM SCOTT
833 ANDERSON AVE
COOS BAY, OR 97420-4641
Phone number: 542-267-3447
Mailing Address
-- SAM SCOTT
833 ANDERSON AVE
COOS BAY, OR 97420-4641
Phone number: