Organization
VALLEY RIVER ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS DRYDEN DDS (MEMBER)
(541) 484-0470
Entity
Organization
Contact information
Practice address
750 GOODPASTURE ISLAND RD, EUGENE, OR 97401
(541) 484-0470
(541) 484-1552
Mailing address
750 GOODPASTURE ISLAND RD, EUGENE, OR 97401
(541) 484-0470
(541) 484-1552
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
D10083
OR
1223E0200X
Endodontics
Primary
D8044
OR
1223E0200X
Endodontics
D9767
OR
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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