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Organization

GREGORY R. MANN DDS PC

Active
Parent organization
GREGORY R MANN DDS PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREGORY R MANN DDS PC
Authorized official
GREGORY R MANN DDS (PRESIDENT)
(541) 754-6116
Entity
Organization

Contact information

Practice address
2318 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 754-6116
(541) 753-3616
Mailing address
2318 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 754-6116
(541) 753-3616

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6183
OR

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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