| Pringle Creek Family Dental, Llc | |
|
640 12th St Se Salem OR 97301-4001 | |
| (503) 364-7944 | |
| Not Available |
| Full Name | Pringle Creek Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 640 12th St Se, Salem, Oregon |
| Authorized Official Name and Position | Marcia L Duffy (OFFICE MANAGER) |
| Authorized Official Contact | 5033647944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pringle Creek Family Dental, Llc 640 12th St Se Salem OR 97301-4001 Ph: (503) 364-7944 | Pringle Creek Family Dental, Llc 640 12th St Se Salem OR 97301-4001 Ph: (503) 364-7944 |
| NPI Number | 1033648886 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033648886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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