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NPI Profile for ANTHONY R BELISLE JR in COOS BAY, OR.
A dental technician specializing in making and fitting dentures as a direct service to the public rather than through a licensed dentist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Denturist |
122400000X | |||
Dental Laboratory Technician |
126900000X |
| NPI # | 1740413012 |
|
| Status | Active | |
| Credentials | L.D. | |
| Entity | Individual | |
| Enumeration date | 09/02/2009 | |
| Last updated | 09/02/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANTHONY R BELISLE JR
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ANTHONY R BELISLE JR, L.D.