Organization
EAGLE POINT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUKE BARSALOU DMD (DENTIST)
(541) 826-0599
Entity
Organization
Contact information
Practice address
11160 HIGHWAY 62 STE A, EAGLE POINT, OR 97524-8025
(541) 826-0599
(541) 826-0602
Mailing address
11160 HIGHWAY 62 STE A, EAGLE POINT, OR 97524-8025
(541) 826-0599
(541) 826-0602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9308
OR
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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