Organization
ARTISTIC DENTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SCOTT CLASEN (PRESIDENT)
(541) 673-2724
Entity
Organization
Contact information
Practice address
696 NE WINCHESTER ST, ROSEBURG, OR 97470-3260
(541) 673-2724
Mailing address
696 NE WINCHESTER ST, ROSEBURG, OR 97470-3260
(541) 673-2724
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTDO355212
OR
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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