BIRCH AVENUE DENTAL, INC.

COTTAGE GROVE, OR
NPI1841363348
Entity TypeOrganization
Authorized ContactPARK W MCCLUNG
President
541-942-2471
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  d6947)
Enumeration Date2006-11-15
Last Update Date2020-08-22
Business Address
BIRCH AVENUE DENTAL, INC.
1325 BIRCH AVE
COTTAGE GROVE, OR 97424-1416
Phone number: 541-942-2471
Mailing Address
BIRCH AVENUE DENTAL, INC.
1325 BIRCH AVE
COTTAGE GROVE, OR 97424-1416
Phone number: 541-942-2471
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