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Organization

SOUTHERN OREGON DENTAL L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL R ARRIGOTTI D.M.D. (MEMBER DENTIST)
(541) 476-7781
Entity
Organization

Contact information

Practice address
540 UNION AVE, GRANTS PASS, OR 97527-5544
(541) 476-7781
(541) 471-9366
Mailing address
540 UNION AVE, GRANTS PASS, OR 97527-5544
(541) 476-7781
(541) 471-9366

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182634
OR
Enumeration date
07/26/2006
Last updated
01/15/2009
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