PHILLIP R DAHL

ROSEBURG, OR
NPI1194938894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: OR  DT DO 869528)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Mr. PHILLIP R DAHL L.D
1663 W HARVARD AVE
ROSEBURG, OR 97470-2812
Phone number: 541-672-0100
Mailing Address
Mr. PHILLIP R DAHL L.D
14987 N BANK RD
ROSEBURG, OR 97470-7937
Phone number: 541-496-3794