APPLEGATE VALLEY DENTAL INC

JACKSONVILLE, OR
NPI1316329394
Entity TypeOrganization
Authorized ContactMICHAEL R BOLDT
Secretary
541-899-7824
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D6349)
Enumeration Date2015-06-25
Last Update Date2015-06-25
Business Address
APPLEGATE VALLEY DENTAL INC
181 UPPER APPLEGATE RD
JACKSONVILLE, OR 97530-9739
Phone number: 541-899-7824
Mailing Address
APPLEGATE VALLEY DENTAL INC
181 UPPER APPLEGATE RD
JACKSONVILLE, OR 97530-9739
Phone number: 541-899-7824
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