Organization
NORMAN DEJONG DDS MPH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN DEJONG DDS (DENTIST)
(541) 820-4369
Entity
Organization
Contact information
Practice address
132 FRONT ST, PRAIRIE CITY, OR 97869
(541) 820-4369
Mailing address
PO BOX 869, PRAIRIE CITY, OR 97869-0869
(541) 820-4369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4482
OR
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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