| Keizer Smile Center | |
|
3975 River Rd N Ste 5 Keizer OR 97303-4811 | |
| (503) 393-9106 | |
| (503) 393-3053 |
| Full Name | Keizer Smile Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3975 River Rd N Ste 5, Keizer, Oregon |
| Authorized Official Name and Position | Trenton Lebaron (MEMBER) |
| Authorized Official Contact | 5033939106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keizer Smile Center 3975 River Rd N Ste 5 Keizer OR 97303-4811 Ph: () - | Keizer Smile Center 3975 River Rd N Ste 5 Keizer OR 97303-4811 Ph: (503) 393-9106 |
| NPI Number | 1790192342 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790192342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9266 (Oregon) | Primary |
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