RIGHT BITE DENTURES
Managed Care Organizations at 1 Ave, Ontario, OR

License number
Oregon 10174720
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: TYSEN KLAFKE L.D.
Title: PARTNER
Phone: (541) 889-3750
Address
Address
975 SW 1St Ave, Ontario, OR 97914
National Provider ID: 1265988562
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RIGHT BITE DENTURES

975 SW 1 Ave, Ontario, OR 97914

Registration:
Jul 29, 2015
State ID:
113279996
Business type:
Assumed Business Name
Agent:
Tysen Klafke,4919 Cherry Ln, Nampa, ID 83687 (Physical)

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