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3857 River Rd N Keizer OR 97303-4803 | |
| (503) 390-1100 | |
| (503) 390-4455 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3857 River Rd N, Keizer, Oregon |
| Authorized Official Name and Position | Ruth Ann Abraham (OWNER) |
| Authorized Official Contact | 5033901100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3857 River Rd N Keizer OR 97303-4803 Ph: (503) 390-1100 | 3857 River Rd N Keizer OR 97303-4803 Ph: (503) 390-1100 |
| NPI Number | 1164606778 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164606778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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