| Salemtowne Dental Llc | |
|
1257 Wallace Rd Nw Salem OR 97304-3007 | |
| (541) 928-2301 | |
| Not Available |
| Full Name | Salemtowne Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1257 Wallace Rd Nw, Salem, Oregon |
| Authorized Official Name and Position | Geoffrey Berg (OWNER) |
| Authorized Official Contact | 5419282301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salemtowne Dental Llc 2825 Willetta St Sw Albany OR 97321-3846 Ph: (541) 928-2301 | Salemtowne Dental Llc 1257 Wallace Rd Nw Salem OR 97304-3007 Ph: (541) 928-2301 |
| NPI Number | 1932823556 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932823556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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