Salem Dental LLC

NPI #1023568631 in Salem, Oregon

Provider Information

NPI Number: 1023568631
Entity Type: Organization
Organization Name: Salem Dental LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHWEST DENTAL GROUP LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 6, 2016
Last Updated: Oct 6, 2016

Practice Location

Address: 2510 12TH ST SE
City: Salem
State: Oregon
ZIP Code: 97302-2167
Phone: (503) 378-1212

Authorized Official

Name: BRYANT ZOLLINGER, DDS
Title: OWNER
Phone: (503) 648-6671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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