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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1033349816 |
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| LBN Legal business name | SOUTH UMPQUA FAMILY DENTAL | ||||
| Authorized official | ERIC CORNELIUS - (MANAGING MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/15/2009 | ||||
| Last updated | 07/15/2009 - About 17 years ago | ||||
| Identifiers |
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SOUTH UMPQUA FAMILY DENTAL