Organization
CRISDENTAL CENTRAL POINT
Active
Parent organization
CRISDENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRISDENTAL PC
Authorized official
MICHAEL J BRATLAND DMD (OWNER)
(541) 492-1687
Entity
Organization
Contact information
Practice address
826 S FRONT ST, CENTRAL POINT, OR 97502-2726
(541) 727-3067
(866) 770-8050
Mailing address
PO BOX 2571, ROSEBURG, OR 97470-0436
(541) 492-1687
(866) 216-6527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8594
OR
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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