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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.

physician Basic Information

Address ? 181 Upper Applegate Rd, Jacksonville, OR 97530-9739, US
Legal Business NameApplegate Valley Dental Inc
NPI ?1316329394 Entity TypeOrganization
Enumeration Date ?Jun 25, 2015 Last Update Date ?Jun 25, 2015

Location Practice Location Information

Practice Location 181 Upper Applegate Rd, Jacksonville, OR 97530-9739, US
Practice Location Phone541-899-7824
Practice Location Fax

specialty Provider Specialty

Provider SpecialtyProvider TypeLicenseLicense State
DentistDental Providers D6349Oregon

official Authorized Official

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/PositionSECRETARY
Authorized Official Phone Number541-899-7824