Organization
FLORENCE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ALCORN DDS (OWNER)
(541) 997-3535
Entity
Organization
Contact information
Practice address
2750 KINGWOOD ST, FLORENCE, OR 97439
(541) 997-3535
(541) 997-3186
Mailing address
2750 KINGWOOD ST, FLORENCE, OR 97439
(541) 997-3535
(541) 997-3186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
08/22/2024
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