Shoreview Dental, Lls

NPI #1003196536 in Keizer, Oregon

Provider Information

NPI Number
1003196536
Entity Type
Organization
Organization Name
Shoreview Dental, Lls
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 29, 2011
Last Updated
Aug 29, 2011

Practice Location

Address
5885 SHOREVIEW LN N
City
Keizer
State
Oregon
ZIP Code
97303-3866
Phone
(503) 393-5133

Authorized Official

Name
MR. STEVEN RALPH DUFFIN, DDS
Title
OWNER/DENTIST
Phone
(503) 393-5133

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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