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1760741078
CRISDENTAL SALEM L.L.C.
SALEM, OR
NPI
1760741078
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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
2012-05-07
Last Update Date
2012-05-07
Business Address
CRISDENTAL SALEM L.L.C.
1355 EDGEWATER ST NW
SALEM, OR 97304-4077
Phone number: 503-588-6960
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Mailing Address
CRISDENTAL SALEM L.L.C.
1333 W HARVARD AVE
ROSEBURG, OR 97471-2838
Phone number: 541-672-2747
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