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.
|Practice Location||181 Upper Applegate Rd, Jacksonville, OR 97530-9739, US|
|Practice Location Phone||541-899-7824|
|Practice Location Fax|
|Legal Business Name||APPLEGATE VALLEY DENTAL INC|
|Enumeration Date ?||Jun 25, 2015|
|Last Update Date ?||Jun 25, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
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|