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Organization

MEDFORD DENTAL CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADAM P CRAMER DDS (PRESIDENT)
(360) 357-4500
Entity
Organization

Contact information

Practice address
3551 E BARNETT RD STE 101, MEDFORD, OR 97504-7037
(541) 772-5755
Mailing address
3551 E BARNETT RD STE 101, MEDFORD, OR 97504-7037
(541) 772-5755

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 10599
WA

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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