Molalla Family Dental, PC

NPI #1023274198 in Molalla, Oregon

Provider Information

NPI Number: 1023274198
Entity Type: Organization
Organization Name: Molalla Family Dental, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 29, 2008
Last Updated: Jul 29, 2008

Practice Location

Address: 128 ROSS ST
City: Molalla
State: Oregon
ZIP Code: 97038-9390
Phone: (503) 829-7677

Authorized Official

Name: DR. JONATHAN CHRISTOPHER MCNEIL, D.M.D.
Title: PRESIDENT
Phone: (503) 829-7677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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