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Organization
ROGUE RIVER ENDODONTICS
Active
Organization
ROGUE RIVER ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALLEN DRYDEN D.D.S. (PRESIDENT)
(541) 471-9392
Entity
Organization
Contact information
Practice address
1004 RAMSEY AVE, GRANTS PASS, OR 97527-5816
(541) 471-9392
(541) 471-9481
Mailing address
1004 RAMSEY AVE, GRANTS PASS, OR 97527-5816
(541) 471-9392
(541) 471-9481
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8365
OR
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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