Molalla Dental Clinic P.c.

NPI #1104065184 in Molalla, Oregon

Provider Information

NPI Number: 1104065184
Entity Type: Organization
Organization Name: Molalla Dental Clinic P.c.
Primary Specialty: Dentist
Enumeration Date: Feb 13, 2009
Last Updated: May 21, 2014

Practice Location

Address: 175 GRANGE AVE
City: Molalla
State: Oregon
ZIP Code: 97038
Phone: (503) 829-9734

Authorized Official

Name: DR. JATINDER SINGN DHADLI, DDS
Title: DENTIST OWNER
Phone: (503) 829-9734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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