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1497190821
SOUTH LANE CHILDREN'S DENTAL CLINIC
COTTAGE GROVE, OR
NPI
1497190821
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Entity Type
Organization
Authorized Contact
COURTNEY JANE LONG
Dental Care Coordinator
541-520-7137
Organization Subpart ?
Yes
Primary Taxonomy
251V00000X Voluntary or Charitable
Enumeration Date
2013-04-29
Last Update Date
2022-07-21
Business Address
SOUTH LANE CHILDREN'S DENTAL CLINIC
1275 S RIVER RD
COTTAGE GROVE, OR 97424-3906
Phone number: 541-520-7137
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Mailing Address
SOUTH LANE CHILDREN'S DENTAL CLINIC
1275 S RIVER RD
COTTAGE GROVE, OR 97424-3906
Phone number: 541-520-7137
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