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Organization
TAMARA K. ABBETT, DDS, PC
Active
Organization
TAMARA K. ABBETT, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA KAY ABBETT DDS (OWNER/DENTIST)
(541) 779-9059
Entity
Organization
Contact information
Practice address
940 ELLENDALE DR, MEDFORD, OR 97504-8216
(541) 779-9059
(541) 779-0226
Mailing address
940 ELLENDALE DR, MEDFORD, OR 97504-8216
(541) 779-9059
(541) 779-0226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6842
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972504710
INDIVIDUAL NPI
OR
Enumeration date
06/18/2014
Last updated
06/18/2014
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