Organization
CRIS DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BRATLAND D.M.D (OWNER)
(541) 672-2747
Entity
Organization
Contact information
Practice address
1333 W HARVARD AVE, ROSEBURG, OR 97471-2838
(541) 672-2747
(541) 672-2757
Mailing address
3019 NW STEWART PKWY STE 304, ROSEBURG, OR 97471-1602
(541) 672-2747
(541) 672-2757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8594
OR
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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