Organization
AMERICAN DENTAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES BRATLAND D.M.D. (OWNER)
(541) 672-2747
Entity
Organization
Contact information
Practice address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 673-6511
(541) 673-5470
Mailing address
2530 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 673-6511
(541) 673-5470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8594
OR
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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