Individual
GILES LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(888) 468-0022
(541) 504-3907
Mailing address
PO BOX 490, REDMOND, OR 97756
(888) 468-0022
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9296
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500608239
—
OR
Enumeration date
07/10/2009
Last updated
10/22/2011
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