Individual
BRIAN L PRINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1390 OLEANDER ST STE A, MEDFORD, OR 97504-5448
(541) 773-5441
Mailing address
1390 OLEANDER ST STE A, MEDFORD, OR 97504-5448
(541) 773-5441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9470
OR
Other
Enumeration date
05/23/2012
Last updated
10/18/2019
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