Organization
SPRINGFIELD DENTAL PARTNERS LLC
Active
Other names
Mountain Stream Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WELCH DMD (MEMBER)
(702) 371-0221
Entity
Organization
Contact information
Practice address
498 HARLOW RD STE 2, SPRINGFIELD, OR 97477-1339
(541) 345-5363
Mailing address
10663 BONCHESTER HILL ST, LAS VEGAS, NV 89141-3899
(702) 371-0221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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