Organization
NORTHWEST DENTAL GROUP, PC-LAPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN A YANG DDS (PRESIDENT)
(541) 536-0264
Entity
Organization
Contact information
Practice address
16475 BLUEWOOD PLACE, LAPINE, OR 97739-2999
(541) 536-0264
(541) 536-0266
Mailing address
16475 BLUEWOOD PLACE, PO BOX 2999, LAPINE, OR 97739-2999
(541) 536-0264
(541) 536-0266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7823
OR
Other
Enumeration date
02/20/2007
Last updated
03/31/2008
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