| Pnw Dental Llc | |
|
1814 Coburg Rd Ste 2 Eugene OR 97401-4986 | |
| (541) 342-3398 | |
| Not Available |
| Full Name | Pnw Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1814 Coburg Rd Ste 2, Eugene, Oregon |
| Authorized Official Name and Position | Susan N Watkins (OWNER/DENTIST) |
| Authorized Official Contact | 4103036988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pnw Dental Llc 1814 Coburg Rd Ste 2 Eugene OR 97401-4986 Ph: (541) 342-3398 | Pnw Dental Llc 1814 Coburg Rd Ste 2 Eugene OR 97401-4986 Ph: (541) 342-3398 |
| NPI Number | 1265907364 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265907364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Carly M. Peterschmidt, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 E 22nd Avenue, Suite A, Eugene, OR 97408 Phone: 541-687-2343 Fax: 541-505-9258 | |
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