Organization
THE GROVE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNN ADAMSON (REGIONAL MANAGER)
(971) 261-9539
Entity
Organization
Contact information
Practice address
510 E WHITEAKER AVE, COTTAGE GROVE, OR 97424-1648
(541) 492-1687
(541) 418-4311
Mailing address
PO BOX 1541, ROSEBURG, OR 97470-0360
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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