Organization
ADVANTAGE DENTAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH MICHAEL SHIRTCLIFF DMD (PRESIDENT)
(541) 504-3900
Entity
Organization
Contact information
Practice address
442 SW UMATILLA AVE, SUITE 200, REDMOND, OR 97756-7039
(541) 504-3900
(541) 504-3907
Mailing address
442 SW UMATILLA AVE, SUITE 200, REDMOND, OR 97756-7039
(541) 504-3900
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4459
OR
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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