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1588986525
ORAL AND MAXILLOFACIAL SURGERY
MEDFORD, OR
NPI
1588986525
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Entity Type
Organization
Authorized Contact
BRUCE S LOGAN
Owner
541-779-7799
Organization Subpart ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date
2010-02-18
Last Update Date
2020-07-17
Business Address
ORAL AND MAXILLOFACIAL SURGERY
3162 STATE ST
MEDFORD, OR 97504-8450
Phone number: 541-779-7799
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Mailing Address
ORAL AND MAXILLOFACIAL SURGERY
3162 STATE ST
MEDFORD, OR 97504-8450
Phone number: 541-779-7799
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