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Organization
SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization
SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RIPPLINGER (OFFICE MANAGER)
(541) 779-1184
Entity
Organization
Contact information
Practice address
3162 STATE ST, MEDFORD, OR 97504-8450
(541) 779-1184
(541) 773-9885
Mailing address
3162 STATE ST, MEDFORD, OR 97504-8450
(541) 779-1184
(541) 773-9885
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D7720
OR
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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