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Organization

NORTH COAST DENTAL CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON D BLETSCHER DMD (OFFICER)
(503) 861-3707
Entity
Organization

Contact information

Practice address
1085 E HARBOR DR, WARRENTON, OR 97146-0357
(503) 861-3707
(503) 861-0568
Mailing address
PO BOX 357, WARRENTON, OR 97146-0357
(503) 861-3707
(503) 861-0568

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5837
OR

Other

Enumeration date
10/03/2006
Last updated
10/06/2008
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