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Organization

MICHAEL B DESJARDIN DENTISTY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL B DESJARDIN D.M.D. (PRESIDENT)
(541) 575-2725
Entity
Organization

Contact information

Practice address
208 NW CANTON ST, JOHN DAY, OR 97845-1145
(541) 575-2725
(541) 575-2635
Mailing address
208 NW CANTON ST, JOHN DAY, OR 97845-1145
(541) 575-2725
(541) 575-2635

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6163
OR

Other

Enumeration date
12/19/2012
Last updated
12/19/2012
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