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Organization
EQUITY DENTAL CLINICS BROOKINGS, LLC
Active
Organization
EQUITY DENTAL CLINICS BROOKINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE SHIRTCLIFF DMD (PRESIDENT)
(541) 680-9028
Entity
Organization
Contact information
Practice address
648 CHETCO AVE, BROOKINGS, OR 97415-8010
(541) 216-4469
(541) 216-4725
Mailing address
PO BOX 1748, REDMOND, OR 97756-0518
(541) 216-4469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
09/05/2024
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