Provider Demographics
NPI:1710291265
Name:AUZINS WARRENTON LLC
Entity Type:Organization
Organization Name:AUZINS WARRENTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMUND
Authorized Official - Middle Name:K
Authorized Official - Last Name:AUZINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:503-861-9421
Mailing Address - Street 1:1725 SAINT HELENS ST
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-1744
Mailing Address - Country:US
Mailing Address - Phone:503-366-4248
Mailing Address - Fax:503-366-4281
Practice Address - Street 1:65 N HIGHWAY 101 STE C
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:OR
Practice Address - Zip Code:97146-9313
Practice Address - Country:US
Practice Address - Phone:503-861-9421
Practice Address - Fax:503-366-4281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD89961223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty