Organization
SARA A AUSTIN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN B BRUNSTON (OFFICE MANAGER)
(541) 753-3883
Entity
Organization
Contact information
Practice address
2363 NW GRANT AVE, CORVALLIS, OR 97330
(541) 753-3883
Mailing address
2363 NW GRANT AVE, CORVALLIS, OR 97330
(541) 753-3883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6926
OR
Other
Enumeration date
03/20/2007
Last updated
09/29/2008
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