Individual
MR. LUKE T BARSALOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4940 HAMRICK ROAD, CENTRAL POINT, OR 97501
(541) 535-6239
(541) 512-3178
Mailing address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-3178
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9308
OR
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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