| Ponderosa Dental Arts, Pc | |
|
1174 Molalla Ave Oregon City OR 97045-3770 | |
| (503) 656-6464 | |
| (503) 577-4677 |
| Full Name | Ponderosa Dental Arts, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1174 Molalla Ave, Oregon City, Oregon |
| Authorized Official Name and Position | Eric D. Berkner (MEMBER/OWNER) |
| Authorized Official Contact | 5066566464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponderosa Dental Arts, Pc 1174 Molalla Ave Oregon City OR 97045-3770 Ph: (503) 656-6464 | Ponderosa Dental Arts, Pc 1174 Molalla Ave Oregon City OR 97045-3770 Ph: (503) 656-6464 |
| NPI Number | 1003245606 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003245606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9967 (Oregon) | Primary |
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