Individual
DR. LINDA G VANMIERLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
895 COUNTRY CLUB RD, SUITE C-100, EUGENE, OR 97401-6003
(541) 685-7289
Mailing address
PO BOX 7843, SPRINGFIELD, OR 97475-0032
(541) 554-0770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
139251-9922
UT
1223G0001X
General Practice Dentistry
1782
MT
1223G0001X
General Practice Dentistry
26193
CA
1223G0001X
General Practice Dentistry
D 1903
ID
1223G0001X
General Practice Dentistry
Primary
D 5251
OR
1223G0001X
General Practice Dentistry
DE00007050
WA
1223G0001X
General Practice Dentistry
DT1878
HI
Other
Enumeration date
07/16/2010
Last updated
05/02/2014
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