Organization
ADVANTAGE DENTAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE DYSERT (COO)
(541) 504-3900
Entity
Organization
Contact information
Practice address
442 SW UMATILLA AVE, STE 200, REDMOND, OR 97756-7039
(541) 504-3900
(541) 504-3907
Mailing address
442 SW UMATILLA AVE, STE 200, REDMOND, OR 97756-7039
(541) 504-3900
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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