Organization
ADVANTAGE DENTAL CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY SLAUGHTER (VICE PRESIDENT)
(541) 504-3966
Entity
Organization
Contact information
Practice address
442 SW UMATILLA AVE., SUITE 200, REDMOND, OR 97756
(866) 268-9631
Mailing address
442 SW UMATILLA AVE., SUITE 200, REDMOND, OR 97756
(866) 268-9631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10127
OR
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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