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Individual

DR. THOMAS H BARRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 882-1487
(541) 783-2028
Mailing address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 882-1487
(541) 783-2028

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1977
AZ
1223G0001X
General Practice Dentistry
Primary
D10736
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500730731
OR
Enumeration date
07/14/2006
Last updated
10/21/2022
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