OrganizationActive
Advantage Lapine Qalicb, LLC
NPI 1164844494 · General Practice Dentistry · Redmond, OR
Provider details
- NPI number
- 1164844494
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Authorized official
- Jeanne Dysert, Executive Vp of Operations
- License
- D4459 (OR)
Practice location
442 Sw Umatilla Ave Ste 200
Redmond, OR 97756-7039
Phone: (541) 504-3900
Mailing address
442 Sw Umatilla Ave Ste 200
Redmond, OR 97756-7039
Registry dates
- Enumerated
- 2014-01-06
- Last updated
- 2014-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.