DR. Molly Slack, DDS

NPI #1053323618 in Lebanon, Oregon

Provider Information

NPI Number: 1053323618
Entity Type: Individual
Name: DR. Molly Slack, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 W OAK ST
City: Lebanon
State: Oregon
ZIP Code: 97355-1254
Phone: (541) 258-7884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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