Organization
CRIS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BRATLAND DMD (OWNER)
(541) 672-2747
Entity
Organization
Contact information
Practice address
5892 MAIN ST STE 4, SPRINGFIELD, OR 97478-5496
(541) 672-2747
(541) 672-2757
Mailing address
3019 NW STEWART PKWY, STE 304, #305, ROSEBURG, OR 97471-1602
(541) 672-2747
(541) 672-2754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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