Individual
MR. CURTIS F TATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
2535 MYRTLE ST., BAKER CITY, OR 97814-4121
(541) 523-4747
Mailing address
2535 MYRTLE ST, BAKER CITY, OR 97814-4121
(541) 523-4747
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10128751
OR
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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