Inland Shores Family Dental | |
5830 Shoreview Ln N Keizer OR 97303-3866 | |
(503) 390-4117 | |
(503) 390-8342 |
Full Name | Inland Shores Family Dental |
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Speciality | Dentist - General Practice |
Location | 5830 Shoreview Ln N, Keizer, Oregon |
Authorized Official Name and Position | Megan Peterson (OWNER/DENTIST) |
Authorized Official Contact | 5033904117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inland Shores Family Dental 5830 Shoreview Ln N Keizer OR 97303-3866 Ph: (503) 390-4117 | Inland Shores Family Dental 5830 Shoreview Ln N Keizer OR 97303-3866 Ph: (503) 390-4117 |
NPI Number | 1992085252 |
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Provider Enumeration Date | 08/18/2011 |
Last Update Date | 08/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992085252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D8434 (Oregon) | Primary |
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