Organization
HERITAGE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN RENEE PIATT DMD (DENTIST)
(541) 306-0381
Entity
Organization
Contact information
Practice address
1700 E 12TH ST, THE DALLES, OR 97058-3137
(541) 298-4403
Mailing address
1631 CARROLL RD, MOSIER, OR 97040-9766
(541) 306-0381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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