| Aspen Dental Of Oregon Pc | |
|
2535 Jorie Ln Ne 104 Keizer OR 97303-4136 | |
| (503) 463-4000 | |
| (503) 463-1395 |
| Full Name | Aspen Dental Of Oregon Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2535 Jorie Ln Ne, Keizer, Oregon |
| Authorized Official Name and Position | Steven Ralph Duffin (OWNER) |
| Authorized Official Contact | 5034634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Of Oregon Pc Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental Of Oregon Pc 2535 Jorie Ln Ne 104 Keizer OR 97303-4136 Ph: (503) 463-4000 |
| NPI Number | 1780819284 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780819284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7025 (Oregon) | Primary |
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