Organization
GRANTS PASS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER D WRIGHT D.M.D. (OWNER)
(541) 476-4511
Entity
Organization
Contact information
Practice address
118 NE JACKSON ST, GRANTS PASS, OR 97526
(541) 476-4511
(541) 479-9006
Mailing address
118 NE JACKSON ST, GRANTS PASS, OR 97526
(541) 476-4511
(541) 479-9006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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