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1699869156
GRANTS PASS DENTAL, LLC
GRANTS PASS, OR
NPI
1699869156
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Entity Type
Organization
Authorized Contact
TYLER D WRIGHT
Owner
541-476-4511
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-10-02
Last Update Date
2020-08-22
Business Address
GRANTS PASS DENTAL, LLC
118 NE JACKSON ST
GRANTS PASS, OR 97526
Phone number: 541-476-4511
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Mailing Address
GRANTS PASS DENTAL, LLC
118 NE JACKSON ST
GRANTS PASS, OR 97526
Phone number: 541-476-4511
Copy
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