Organization
FAMILY DENTISTRY OF GOLD BEACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN LIEM D. D. S. (CEO)
(541) 247-8000
Entity
Organization
Contact information
Practice address
29814 ELLENSBURG AVE, GOLD BEACH, OR 97444-1600
(541) 247-8000
(541) 247-8888
Mailing address
PO BOX 1600, 29814 ELLENSBURG, GOLD BEACH, OR 97444-1600
(541) 247-8000
(541) 247-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6942
OR
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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