CORVALLIS FAMILY DENTISTRY, LLC

CORVALLIS, OR
NPI1730459892
Entity TypeOrganization
Authorized ContactBRIAN D TIDWELL
Dentist
541-929-5227
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2012-01-06
Last Update Date2012-01-06
Business Address
CORVALLIS FAMILY DENTISTRY, LLC
1829 NW KINGS BLVD
CORVALLIS, OR 97330-1907
Phone number: 541-752-5048
Mailing Address
CORVALLIS FAMILY DENTISTRY, LLC
1829 NW KINGS BLVD
CORVALLIS, OR 97330-1907
Phone number: 541-752-5048
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