| Northwest Dental Arts Pc | |
|
4734 River Rd N Keizer OR 97303-4536 | |
| (503) 463-4663 | |
| Not Available |
| Full Name | Northwest Dental Arts Pc |
|---|---|
| Speciality | Dentist |
| Location | 4734 River Rd N, Keizer, Oregon |
| Authorized Official Name and Position | Shelly Renee Sutter (OFFICE MANAGER) |
| Authorized Official Contact | 5034634663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dental Arts Pc 4734 River Rd N Keizer OR 97303-4536 Ph: (503) 463-4663 | Northwest Dental Arts Pc 4734 River Rd N Keizer OR 97303-4536 Ph: (503) 463-4663 |
| NPI Number | 1508136581 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508136581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8728 (Oregon) | Primary |
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