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4342 Liberty Rd S Salem OR 97302-6171 | |
(503) 363-6500 | |
Not Available |
Full Name | - |
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Speciality | Dentist - Endodontics |
Location | 4342 Liberty Rd S, Salem, Oregon |
Authorized Official Name and Position | Hujatullah Bayat (OWNER) |
Authorized Official Contact | 5033636500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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- 4342 Liberty Rd S Salem OR 97302-6171 Ph: (503) 363-6500 | - 4342 Liberty Rd S Salem OR 97302-6171 Ph: (503) 363-6500 |
NPI Number | 1922647312 |
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Provider Enumeration Date | 01/02/2020 |
Last Update Date | 01/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922647312 | NPI | - | NPPES |
4342 | Other | OWNER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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