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Individual

DAN JAMES FLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
1020 GREEN ACRES RD STE 15, EUGENE, OR 97408-1715
(866) 633-3113
Mailing address
PO BOX 11470, EUGENE, OR 97440-3670
(888) 468-0022

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D9456
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500625069
OR
01
D9456
DENTAL LICENSE
OR
Enumeration date
08/04/2010
Last updated
12/19/2018
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