| Willamette Valley Oral & Maxillofacial Surgey, Inc. | |
|
250 Church St Se Ste 102 Salem OR 97301-3758 | |
| (503) 581-1999 | |
| (503) 581-1107 |
| Full Name | Willamette Valley Oral & Maxillofacial Surgey, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 250 Church St Se Ste 102, Salem, Oregon |
| Authorized Official Name and Position | Holly J Eyre (OFFICE MANAGER) |
| Authorized Official Contact | 5035811999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Valley Oral & Maxillofacial Surgey, Inc. 250 Church St Se Ste 102 Salem OR 97301-3758 Ph: (503) 581-1999 | Willamette Valley Oral & Maxillofacial Surgey, Inc. 250 Church St Se Ste 102 Salem OR 97301-3758 Ph: (503) 581-1999 |
| NPI Number | 1144575267 |
|---|---|
| Provider Enumeration Date | 07/15/2012 |
| Last Update Date | 07/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144575267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D6858 (Oregon) | Primary |
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