Organization
ADVANTAGE DENTAL GROUP, PC
Active
Other names
Advantage Dental Oral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON EDMONDSON (MANAGER, LICENSING & CREDENTIALING)
(629) 999-5014
Entity
Organization
Contact information
Practice address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(888) 468-0022
Mailing address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(888) 468-0022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
01/03/2023
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