Ponderosa Dental Arts, PC

NPI #1003245606 in Oregon City, Oregon

Provider Information

NPI Number: 1003245606
Entity Type: Organization
Organization Name: Ponderosa Dental Arts, PC
Primary Specialty: Dentist
Enumeration Date: Nov 4, 2013
Last Updated: Nov 4, 2013

Practice Location

Address: 1174 MOLALLA AVE
City: Oregon City
State: Oregon
ZIP Code: 97045-3770
Phone: (503) 656-6464

Authorized Official

Name: DR. ERIC D. BERKNER, DMD
Title: MEMBER/OWNER
Phone: (506) 656-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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