Aspen Dental Keizer Or LLC

NPI #1114517091 in Keizer, Oregon

Provider Information

NPI Number
1114517091
Entity Type
Organization
Organization Name
Aspen Dental Keizer Or LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 25, 2021
Last Updated
Jun 13, 2023

Practice Location

Address
2535 JORIE LN NE STE 104
City
Keizer
State
Oregon
ZIP Code
97303-4137
Phone
(503) 463-4000

Authorized Official

Name
JEFFREY LIVINGSTON
Title
OWNER
Phone
(503) 463-4000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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