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1558601385
CRISDENTAL EAST SALEM, LLC
SALEM, OR
NPI
1558601385
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Entity Type
Organization
Authorized Contact
MICHAEL J BRATLAND
Owner
541-672-2747
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2013-02-14
Last Update Date
2013-02-14
Business Address
CRISDENTAL EAST SALEM, LLC
3545 LANCASTER DR NE
SALEM, OR 97305-1435
Phone number: 541-672-2747
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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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