Organization
COASTAL DENTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN M MURRAY C.D.T., L.D. (OWNER)
(541) 997-3344
Entity
Organization
Contact information
Practice address
1647 W 12TH ST., FLORENCE, OR 97439
(541) 997-3344
(541) 997-9103
Mailing address
PO BOX 38000, FLORENCE, OR 97439-0161
(541) 997-3344
(541) 997-9103
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
0516846206
OR
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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