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Organization
BREN DIXON DMD LLC
Active
Organization
BREN DIXON DMD LLC
Active
Other names
Bear Creek Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BREN DIXON DMD (MEMBER)
(541) 773-3327
Entity
Organization
Contact information
Practice address
1150 CRATER LAKE AVE, SUITE C, MEDFORD, OR 97504-6213
(541) 773-3327
Mailing address
1150 CRATER LAKE AVE, SUITE C, MEDFORD, OR 97504-6213
(541) 773-3327
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9739
OR
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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