| Pahls Dentistry Pc | |
|
346 N. Central Blvd Coquille OR 97423 | |
| (541) 396-2242 | |
| (541) 396-3860 |
| Full Name | Pahls Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 346 N. Central Blvd, Coquille, Oregon |
| Authorized Official Name and Position | Christian Brent Pahls (GENERAL DENTIST) |
| Authorized Official Contact | 5413962242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pahls Dentistry Pc 346 N. Central Blvd Coquille OR 97423 Ph: (541) 396-2242 | Pahls Dentistry Pc 346 N. Central Blvd Coquille OR 97423 Ph: (541) 396-2242 |
| NPI Number | 1730417106 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730417106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D8651 (Oregon) | Secondary |
| 122300000X | Dentist | D8932 (Oregon) | Primary |