DENTISTRY FOR CHILDREN NW LLC
Dentist at Willamette St, Eugene, OR

License number
Oregon 5897
Category
Dentist
Type
Pediatric Dentistry
Owner
Name: MRS. LYNSEY B WICKWIRE
Title: PRACTICE MANAGER
Phone: (541) 345-4076
Address
Address
2215 Willamette St, Eugene, OR 97405
National Provider ID: 1801902101
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DENTISTRY FOR CHILDREN, NW, LLC

2215 Willamette St, Eugene, OR 97405

Industry:
Dentists, Pediatric Dentist
Registration:
Jun 18, 2002
Phone:
(541) 345-4076 (Phone)
State ID:
8815599
Business type:
Domestic Limited Liability Company
Agent:
Gregory Jenglund,117 SW Taylor St STE 200, Portland, OR 97204 (Physical)

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