Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | D7789 | OR |
NPI | 1013041201 |
---|---|
Provider Name | Dr. Andrew J Oas |
First Address | Bandon, OR 97411-9120 |
Second Address | Bandon, OR 97411-9120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 20/10/2018 |