| Redwood Family Dental Care | |
|
1867 Redwood Ave Suite 14 Grants Pass OR 97527-6408 | |
| (541) 474-2775 | |
| (541) 474-5005 |
| Full Name | Redwood Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1867 Redwood Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Nathan Milo Tanner (DENTIST) |
| Authorized Official Contact | 3609890500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Family Dental Care 1867 Redwood Ave Suite 14 Grants Pass OR 97527-6408 Ph: (541) 474-2775 | Redwood Family Dental Care 1867 Redwood Ave Suite 14 Grants Pass OR 97527-6408 Ph: (541) 474-2775 |
| NPI Number | 1992010219 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992010219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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