| Mill Creek Dental Llc | |
|
848 Commercial St Ne Salem OR 97301-1016 | |
| (503) 362-9151 | |
| Not Available |
| Full Name | Mill Creek Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 848 Commercial St Ne, Salem, Oregon |
| Authorized Official Name and Position | Geoffrey Alden Berg (MANAGER/MEMBER) |
| Authorized Official Contact | 5419282301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Creek Dental Llc 2825 Willetta St Sw Albany OR 97321-3846 Ph: (541) 928-2301 | Mill Creek Dental Llc 848 Commercial St Ne Salem OR 97301-1016 Ph: (503) 362-9151 |
| NPI Number | 1457926834 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457926834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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