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Individual

DR. ANNE HEUBACH DENNEHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
801 E MAIN ST, SUITE 101, MEDFORD, OR 97504-7169
(541) 245-6648
(541) 245-6647
Mailing address
801 E MAIN ST, SUITE 101, MEDFORD, OR 97504-7169
(541) 245-6648
(541) 245-6647

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30017981
OH
1223P0221X
Pediatric Dentistry
Primary
P6982
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
064746
OMAP
OR
Enumeration date
07/22/2005
Last updated
03/19/2012
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