Organization
SOUTHERN OREGON ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RIPPLINGER (OFFICE MANAGER)
(541) 779-1184
Entity
Organization
Contact information
Practice address
3162 STATE ST, MEDFORD, OR 97504-8450
(541) 779-1184
(541) 773-9885
Mailing address
3162 STATE ST, MEDFORD, OR 97504-8450
(541) 779-1184
(541) 773-9885
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
D7720
OR
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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