Organization
ROGUE VALLEY FAMILY DENTISTRY MEDFORD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN REED BAILEY DDS (MBR)
(541) 269-5353
Entity
Organization
Contact information
Practice address
801 E MAIN ST, MEDFORD, OR 97504-7169
(541) 773-4073
Mailing address
1250 THOMPSON ROAD, COOS BAY, OR 97420-2538
(541) 269-5353
(541) 266-0933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9399
OR
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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