Organization
EDWARD M. THATCHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M THATCHER M.S., D.M.D. (OWNER)
(541) 686-8326
Entity
Organization
Contact information
Practice address
132 E BROADWAY, STE. 629, EUGENE, OR 97401-3143
(541) 686-8326
(541) 345-0933
Mailing address
132 E BROADWAY, STE. 629, EUGENE, OR 97401-3143
(541) 686-8326
(541) 345-0933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5999
OR
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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