Most Relevant Information
Provider Data
| NPI Number: | 1003006941 |
| Provider Name: | CHRISTIAN BRENT PAHLS D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D8932 |
Most Important Dates
| Enumeration Date: | 07/26/2007 |
| Last Updated: | 07/26/2007 |
Provider Practice Location
346 N CENTRAL ST
COQUILLE
OR
974231244
Practice Location Phone/Fax
| Phone: | 5413963495 |
| Fax: | 5413963860 |
Provider Mailing Location
346 N CENTRAL ST
COQUILLE
OR
974231244
Provider Mailing Phone/Fax
| Phone: | 5413963495 |
| Fax: | 5413963860 |