| Keizer Rapids Dental, Llc | |
|
4754 River Rd N Keizer OR 97303-4536 | |
| (503) 393-6286 | |
| Not Available |
| Full Name | Keizer Rapids Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4754 River Rd N, Keizer, Oregon |
| Authorized Official Name and Position | Brian Andrew Ogle (OWNER) |
| Authorized Official Contact | 5033936286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keizer Rapids Dental, Llc 419 E Dreas Way Newberg OR 97132-8800 Ph: (503) 537-8781 | Keizer Rapids Dental, Llc 4754 River Rd N Keizer OR 97303-4536 Ph: (503) 393-6286 |
| NPI Number | 1720746860 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720746860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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