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Organization

PAHLS DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTIAN BRENT PAHLS D.D.S. (GENERAL DENTIST)
(541) 396-2242
Entity
Organization

Contact information

Practice address
346 N. CENTRAL BLVD, COQUILLE, OR 97423
(541) 396-2242
(541) 396-3860
Mailing address
346 N. CENTRAL BLVD, COQUILLE, OR 97423
(541) 396-2242
(541) 396-3860

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8932
OR
1223P0221X
Pediatric Dentistry
D8651
OR

Other

Enumeration date
11/24/2009
Last updated
11/24/2009
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