Organization
CHIEF JOSEPH DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R ZOLLMAN (OWNER)
(541) 432-6555
Entity
Organization
Contact information
Practice address
401 B NORTH MAIN STREET, JOSEPH, OR 97846
(541) 432-6555
(541) 432-5051
Mailing address
401 B NORTH MAIN STREET, JOSEPH, OR 97846
(541) 432-6555
(541) 432-5051
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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