Applegate Valley Dental Inc
Applegate Valley Dental Inc is a health care provider in Jacksonville, OR. In this page you will find its mailing address, practice location, phone number, specialty etc. Applegate Valley Dental Inc can be contacted at 541-899-7824.
|Address ?|| 181 Upper Applegate Rd, Jacksonville, OR 97530-9739, US |
|Legal Business Name||Applegate Valley Dental Inc|
|NPI ?||1316329394 ||Entity Type||Organization|
|Enumeration Date ?||Jun 25, 2015 ||Last Update Date ?||Jun 25, 2015|
Practice Location Information
|Practice Location|| 181 Upper Applegate Rd, Jacksonville, OR 97530-9739, US |
|Practice Location Phone||541-899-7824|
|Practice Location Fax|
|Provider Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers|| ||D6349||Oregon|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Applegate Valley Dental Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Michael R Boldt (DMD)|
|Authorized Official Title/Position||SECRETARY|
|Authorized Official Phone Number||541-899-7824|