Organization
ADVANTAGE DENTAL CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R MIKE SHIRTCLIFF DMD (PRESIDENT/CEO/DENTAL DIRECTOR)
(866) 268-9616
Entity
Organization
Contact information
Practice address
442 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
(866) 268-9616
(541) 504-3907
Mailing address
PO BOX 490, REDMOND, OR 97756-0092
(866) 268-9616
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
09/23/2011
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