Organization
CRISDENTAL NEWBERG LLC
Active
Parent organization
CRISDENTAL GROUP PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRISDENTAL GROUP PC
Authorized official
DR. MICHAEL J BRATLAND DMD (OWNER)
(541) 672-2747
Entity
Organization
Contact information
Practice address
710 FOOTHILLS DR, NEWBERG, OR 97132-6124
(541) 672-2747
(866) 216-6527
Mailing address
PO BOX 64, ROSEBURG, OR 97470-0012
(541) 672-2747
(866) 216-6527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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