NW Dental Clinic, LLC

NPI #1104198829 in Molalla, Oregon

Provider Information

NPI Number: 1104198829
Entity Type: Organization
Organization Name: NW Dental Clinic, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 27, 2012
Last Updated: Jan 27, 2012

Practice Location

Address: 106 E 2ND ST
City: Molalla
State: Oregon
ZIP Code: 97038-9195
Phone: (503) 829-9731

Authorized Official

Name: DR. STEVEN PUFFER
Title: DENTIST/OWNER
Phone: (503) 829-9731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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