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2245 Mission St Se Salem OR 97302-1291 | |
| (360) 261-6094 | |
| (360) 423-3343 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2245 Mission St Se, Salem, Oregon |
| Authorized Official Name and Position | Stephen Tyler Shoemaker (CHIEF DENTAL OFFICER) |
| Authorized Official Contact | 3602616094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
900 Fir St Suite 1d Longview WA 98632-2544 Ph: (360) 261-6094 | 2245 Mission St Se Salem OR 97302-1291 Ph: (360) 261-6094 |
| NPI Number | 1427417526 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427417526 | NPI | - | NPPES |
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