Organization
WATERFALL CLINIC INCORPORATED
Active
Other names
Waterfall Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA TRENNER (CEO)
(541) 756-6232
Entity
Organization
Contact information
Practice address
1885 WAITE STREET, NORTH BEND, OR 97459
(541) 756-6232
Mailing address
1890 WAITE STREET SUITE 1, NORTH BEND, OR 97459
(541) 756-6232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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