Organization
OPEN DOOR DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER PALLO GOMEZ (FINANCIAL COORDINATOR)
(541) 808-0833
Entity
Organization
Contact information
Practice address
1710 E PINE ST STE A, CENTRAL POINT, OR 97502-2811
(541) 665-1112
Mailing address
1710 E PINE ST STE A, CENTRAL POINT, OR 97502-2811
(541) 665-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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