Organization
ACCESSIBLE MOBILE DENTAL HYGIENE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MATTHEW TRIPP RDH (OWNER/DENTAL HYGIENIST)
(541) 295-1264
Entity
Organization
Contact information
Practice address
4542 AVERILL DR, GRANTS PASS, OR 97526-4114
(541) 295-1264
Mailing address
4542 AVERILL DR, GRANTS PASS, OR 97526-4114
(541) 295-1264
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
H5633
OR
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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