Organization
HEALTHY SMILES HAPPY HEARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE MARTIN RDH, LAP (MANAGING MEMBER)
(541) 621-6094
Entity
Organization
Contact information
Practice address
16300 HIGHWAY 62, EAGLE POINT, OR 97524-7858
(541) 621-6094
Mailing address
16300 HIGHWAY 62, EAGLE POINT, OR 97524-7858
(541) 621-6094
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4261
OR
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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