| Keizer Family Dental Care | |
|
4600 River Rd N Keizer OR 97303-4648 | |
| (503) 393-2264 | |
| (503) 393-2324 |
| Full Name | Keizer Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4600 River Rd N, Keizer, Oregon |
| Authorized Official Name and Position | Marc T. Iwahiro (DENTIST) |
| Authorized Official Contact | 5033932264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keizer Family Dental Care 4600 River Rd N Keizer OR 97303-4648 Ph: (503) 393-2264 | Keizer Family Dental Care 4600 River Rd N Keizer OR 97303-4648 Ph: (503) 393-2264 |
| NPI Number | 1699034082 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699034082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7121 (Oregon) | Primary |
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