Organization
EUGENE DENTAL GROUP
Active
Other names
Elizabeth A. Vivona Dow
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A. VIVONA D.D.S. (DENTIST)
(541) 683-8646
Entity
Organization
Contact information
Practice address
4750 VILLAGE PLAZA LOOP, SUITE 200, EUGENE, OR 97401-6601
(541) 683-8646
Mailing address
4750 VILLAGE PLAZA LOOP, SUITE 200, EUGENE, OR 97401
(541) 683-8646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9649
OR
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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