BROOKINGS DENTAL GROUP, LLC

BROOKINGS, OR
NPI1457884934
Entity TypeOrganization
Authorized ContactTIMOTHY RAY HARBOLT
Managing Dentist
541-469-5371
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D6816)
Enumeration Date2017-04-11
Last Update Date2017-04-11
Business Address
BROOKINGS DENTAL GROUP, LLC
565 5TH ST 2
BROOKINGS, OR 97415-9724
Phone number: 541-469-5371
Mailing Address
BROOKINGS DENTAL GROUP, LLC
565 5TH ST SUITE #2
BROOKINGS, OR 97415-9724
Phone number: 541-469-5371
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