| Holly A Chamberlain Dds Llc | |
|
1800 State St Salem OR 97301-4343 | |
| (503) 363-8625 | |
| (503) 363-0027 |
| Full Name | Holly A Chamberlain Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1800 State St, Salem, Oregon |
| Authorized Official Name and Position | Holly A Chamberlain (OWNER) |
| Authorized Official Contact | 5033638625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly A Chamberlain Dds Llc 1800 State St Salem OR 97301-4343 Ph: (503) 363-8625 | Holly A Chamberlain Dds Llc 1800 State St Salem OR 97301-4343 Ph: (503) 363-8625 |
| NPI Number | 1639606965 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639606965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8215 (Oregon) | Primary |
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