| Liberty Dental Care Pc | |
|
1655 Liberty St Se Salem OR 97302-4347 | |
| (503) 585-2440 | |
| Not Available |
| Full Name | Liberty Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1655 Liberty St Se, Salem, Oregon |
| Authorized Official Name and Position | Robert Lee (PRESIDENT, OWNER) |
| Authorized Official Contact | 5035852440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Dental Care Pc 1655 Liberty St Se Salem OR 97302-4347 Ph: () - | Liberty Dental Care Pc 1655 Liberty St Se Salem OR 97302-4347 Ph: (503) 585-2440 |
| NPI Number | 1629285143 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629285143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7244 (Oregon) | Primary |
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