Mckenzie Dental | |
24540 E Welches Rd Welches OR 97067 | |
(503) 622-3085 | |
(503) 622-3753 |
Full Name | Mckenzie Dental |
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Speciality | Dentist |
Location | 24540 E Welches Rd, Welches, Oregon |
Authorized Official Name and Position | Brad Mckenzie (DENTIST) |
Authorized Official Contact | 5036223085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mckenzie Dental Po Box 293 Welches OR 97067-0293 Ph: (503) 622-3085 | Mckenzie Dental 24540 E Welches Rd Welches OR 97067 Ph: (503) 622-3085 |
NPI Number | 1518280072 |
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Provider Enumeration Date | 03/11/2010 |
Last Update Date | 03/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518280072 | NPI | - | NPPES |
1285634097 | Other | OR | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D7819 (Oregon) | Primary |
Mckenzie Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24540 E Welches Rd, Welches, OR 97067 Phone: 503-622-3085 |