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Organization
HAYDEN FAMILY DENTISTRY GROUP
Active
Organization
HAYDEN FAMILY DENTISTRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SLAUGHTER (HR)
(541) 242-8909
Entity
Organization
Contact information
Practice address
461 NE GREENWOOD AVE STE C, BEND, OR 97701-4607
(541) 318-1564
Mailing address
1740 W 17TH AVE, EUGENE, OR 97402-3619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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