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NPI Code Detail

MEDICARE: DENISE PATRICIA SEUS RDH

MEDICARE: DENISE PATRICIA SEUS RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistH5851OR

General Provider Information

NPI Number : 1730443102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE PATRICIA SEUS RDH
Provider Business Mailing Address
First Line : 900 E MAIN ST
Second Line :
City : MEDFORD
State : OR
Zip : 97504-7136
Country : US
Telephone Number : 541-826-5853
Fax Number : 541-826-5843
Provider Business Practice Location Address
First Line : 8385 DIVISION RD
Second Line :
City : WHITE CITY
State : OR
Zip : 97503-1176
Country : US
Telephone Number : 541-826-5853
Fax Number : 541-826-5843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 08/24/2016

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Directions to “ DENISE PATRICIA SEUS RDH” Practice Location

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