Organization · Type 2 NPI

Intrepid Innovations LLC

Dental Clinic/Center · Springfield, OR

NPI number 1659192953 Active

Practice location

1045 Gateway Loop Ste F
Springfield, OR 97477-1128

Mailing address

876 S 69th Pl
Springfield, OR 97478-7315

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1659192953

Intrepid Innovations LLC's National Provider Identifier is 1659192953, issued on Oct 18, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Springfield, OR. The record was last updated on Oct 18, 2024.