Organization
PNW DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN N WATKINS DDS (OWNER/DENTIST)
(541) 603-6696
Entity
Organization
Contact information
Practice address
1814 COBURG RD STE 2, EUGENE, OR 97401-4986
(541) 342-3398
Mailing address
1814 COBURG RD STE 2, EUGENE, OR 97401-4986
(541) 342-3398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/04/2018
Last updated
08/19/2024
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