| Rogue Valley Family Dentistry Medford Llc | |
|
801 E Main St Medford OR 97504-7169 | |
| (541) 773-4073 | |
| Not Available |
| Full Name | Rogue Valley Family Dentistry Medford Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 E Main St, Medford, Oregon |
| Authorized Official Name and Position | Ryan Reed Bailey (MBR) |
| Authorized Official Contact | 5412695353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Valley Family Dentistry Medford Llc 1250 Thompson Road Coos Bay OR 97420-2538 Ph: (541) 269-5353 | Rogue Valley Family Dentistry Medford Llc 801 E Main St Medford OR 97504-7169 Ph: (541) 773-4073 |
| NPI Number | 1235686817 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235686817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9399 (Oregon) | Primary |
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