| NPI | 1306110283 |
|---|---|
| Doing Business As | COOS BAY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES W KORANDO Owner 541-997-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |