| Lakeview Dental Center, Llc | |
|
2601 25th St Se Suite 430 Salem OR 97302-1279 | |
| (503) 370-8778 | |
| Not Available |
| Full Name | Lakeview Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2601 25th St Se, Salem, Oregon |
| Authorized Official Name and Position | Kent Scott Zerr (OWNER/DENTIST) |
| Authorized Official Contact | 5033708778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dental Center, Llc 2601 25th St Se Suite 430 Salem OR 97302-1279 Ph: (503) 370-8778 | Lakeview Dental Center, Llc 2601 25th St Se Suite 430 Salem OR 97302-1279 Ph: (503) 370-8778 |
| NPI Number | 1023349487 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 01/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023349487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5648 (Oregon) | Primary |
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