Elm Street Dental LLC

NPI #1003295015 in Albany, Oregon

Provider Information

NPI Number
1003295015
Entity Type
Organization
Organization Name
Elm Street Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 22, 2015
Last Updated
May 22, 2015

Practice Location

Address
1036 ELM ST SW
City
Albany
State
Oregon
ZIP Code
97321-2039
Phone
(541) 928-2993

Authorized Official

Name
DR. LANE S HARRIS, DMD
Title
MEMBER
Phone
(541) 928-2993

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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