Organization
EAGLE POINT DENTAL GROUP,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH OGAWA DDS (OWNER)
(541) 826-2525
Entity
Organization
Contact information
Practice address
217 W MAIN STREET, EAGLE POINT, OR 97524
(541) 826-2525
(541) 826-2876
Mailing address
PO BOX 236, EAGLE POINT, OR 97524-0236
(541) 826-2525
(541) 826-2876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6945
OR
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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