Aumsville Family Dentistry LLC

NPI #1114665890 in Aumsville, Oregon

Provider Information

NPI Number: 1114665890
Entity Type: Organization
Organization Name: Aumsville Family Dentistry LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 180 MAIN ST
City: Aumsville
State: Oregon
ZIP Code: 97325-9806
Phone: (503) 877-1594

Authorized Official

Name: JUSTIN ALTON ANDERSON, DDS
Title: DENTIST/OWNER
Phone: (503) 437-5075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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