is a Denturist in Ontario, Oregon. practices all healthcare services and medical treatments related to Denturist. The NPI Number for is 1649381062. The last update date is .
's current location address is 473 Sw 12th St, Ontario, Oregon. You can contact this provider via phone number 5418893282 and fax number 5418810653. The mailing address for is 473 Sw 12th St, Ontario, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 473 Sw 12th St, Ontario, Oregon |
Phone Number | 5418893282 |
Fax Number | 5418810653 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1649381062 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 473 Sw 12th St |
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City | Ontario |
State | Oregon (OR) |
Post Code | 979143201 |
Phone Number | 5418893282 |
Fax Number | 5418810653 |
Provider's Primary Taxonomy Detail
Speciality | Denturist |
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Taxonomy | 122400000X |
Licence No | DT-DO-854277 |
Definition: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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125851 | OR | -- |
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