Organization
CALDERA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER ALLEN PRIMLEY DMD (OWNER/DENTIST)
(541) 604-2900
Entity
Organization
Contact information
Practice address
2727 SW 17TH PL, REDMOND, OR 97756-1297
(360) 921-4735
Mailing address
2727 SW 17TH PL, REDMOND, OR 97756-1297
(541) 604-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
01/14/2022
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