| Corvallis Endodontics | |
|
1030 29th Ave Sw Albany OR 97321-3416 | |
| (541) 924-1190 | |
| (541) 812-0332 |
| Full Name | Corvallis Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1030 29th Ave Sw, Albany, Oregon |
| Authorized Official Name and Position | Ross Paton Mitchell (OWNER) |
| Authorized Official Contact | 5419241190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corvallis Endodontics 1030 29th Ave Sw Albany OR 97321-3416 Ph: (541) 924-1190 | Corvallis Endodontics 1030 29th Ave Sw Albany OR 97321-3416 Ph: (541) 924-1190 |
| NPI Number | 1053959585 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053959585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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