CRISDENTAL EAST SALEM, LLC

SALEM, OR
NPI1558601385
Entity TypeOrganization
Authorized ContactMICHAEL J BRATLAND
Owner
541-672-2747
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2013-02-14
Last Update Date2013-02-14
Business Address
CRISDENTAL EAST SALEM, LLC
3545 LANCASTER DR NE
SALEM, OR 97305-1435
Phone number: 541-672-2747
Mailing Address
CRISDENTAL EAST SALEM, LLC
3019 NW STEWART PKWY STE 304, BOX 311
ROSEBURG, OR 97471-1602
Phone number: 541-672-2747
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