Ross P. Mitchell D.m.d., Llc | |
1030 29th Ave Sw Albany OR 97321-3416 | |
(541) 924-1190 | |
Not Available |
Full Name | Ross P. Mitchell D.m.d., Llc |
---|---|
Speciality | Dentist - Endodontics |
Location | 1030 29th Ave Sw, Albany, Oregon |
Authorized Official Name and Position | Ross Paton Mitchell (MANAGER) |
Authorized Official Contact | 5419241190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ross P. Mitchell D.m.d., Llc 1030 29th Ave Sw Albany OR 97321-3416 Ph: (541) 924-1190 | Ross P. Mitchell D.m.d., Llc 1030 29th Ave Sw Albany OR 97321-3416 Ph: (541) 924-1190 |
NPI Number | 1194010660 |
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Provider Enumeration Date | 06/13/2011 |
Last Update Date | 06/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194010660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | D8977 (Oregon) | Primary |
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