Organization
BARRY & ERICKSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE G BARRY DMD (OWNER/DENTIST)
(541) 779-2634
Entity
Organization
Contact information
Practice address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 779-2634
(541) 779-3282
Mailing address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 779-2634
(541) 779-3282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6059
OR
1223G0001X
General Practice Dentistry
9139
OR
1223G0001X
General Practice Dentistry
9158
OR
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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