CRISDENTAL SALEM L.L.C.

SALEM, OR
NPI1760741078
Entity TypeOrganization
Authorized ContactMICHAEL J BRATLAND
Owner
541-672-2747
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2012-05-07
Last Update Date2012-05-07
Business Address
CRISDENTAL SALEM L.L.C.
1355 EDGEWATER ST NW
SALEM, OR 97304-4077
Phone number: 503-588-6960
Mailing Address
CRISDENTAL SALEM L.L.C.
1333 W HARVARD AVE
ROSEBURG, OR 97471-2838
Phone number: 541-672-2747