Salem Heights Dental, Llc | |
120 Mize Rd Se Salem OR 97302-5729 | |
(503) 364-7776 | |
(503) 364-4445 |
Full Name | Salem Heights Dental, Llc |
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Speciality | Dentist |
Location | 120 Mize Rd Se, Salem, Oregon |
Authorized Official Name and Position | Biao Li (DENTIST) |
Authorized Official Contact | 5033647776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Salem Heights Dental, Llc 120 Mize Rd Se Salem OR 97302-5729 Ph: (503) 364-7776 | Salem Heights Dental, Llc 120 Mize Rd Se Salem OR 97302-5729 Ph: (503) 364-7776 |
NPI Number | 1467669853 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 01/19/2013 |
Identifier | Type | State | Issuer |
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1467669853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | D8587 (Oregon) | Primary |
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