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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.

physician-icon Basic Information

Practice Location 181 Upper Applegate Rd, Jacksonville, OR 97530-9739, US
Practice Location Phone541-899-7824
Practice Location Fax
Legal Business NameAPPLEGATE VALLEY DENTAL INC
NPI ?1316329394
Entity TypeOrganization
Enumeration Date ? Jun 25, 2015
Last Update Date ? Jun 25, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Applegate Valley Dental Inc

SpecialtySpecializationLicenseLicense State
Dentist D6349Oregon

official-icon Authorized Official of Applegate Valley Dental Inc

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