Organization
WESTERN DENTURE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R. DAHL L.D. (PRESIDENT)
(541) 773-3551
Entity
Organization
Contact information
Practice address
1055 COURT ST, MEDFORD, OR 97501-5727
(541) 773-3551
(541) 776-4911
Mailing address
1055 COURT ST, MEDFORD, OR 97501-5727
(541) 773-3551
(541) 776-4911
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-237679
OR
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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