UME CRATER LAKE LLC

MEDFORD, OR
NPI1326739228
Entity TypeOrganization
Authorized ContactSEAN WASDEN
COO
208-965-9415
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
UME CRATER LAKE LLC
1094 ROYAL CT
MEDFORD, OR 97504-6138
Phone number: 541-779-4344
Mailing Address
UME CRATER LAKE LLC
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-965-9415
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