Individual
DR. JUSTIN S BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2800 MAIN ST, BAKER CITY, OR 97814-1800
(541) 523-6012
(541) 524-9543
Mailing address
2800 MAIN ST, BAKER CITY, OR 97814-1800
(541) 523-6012
(541) 524-9543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-9021
OR
Other
Enumeration date
09/26/2007
Last updated
08/26/2010
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