Acorn Dentistry for Kids - Keizer, LLC

NPI #1134661606 in Keizer, Oregon

Provider Information

NPI Number: 1134661606
Entity Type: Organization
Organization Name: Acorn Dentistry for Kids - Keizer, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ACORN DENTISTRY FOR KIDS - KEIZER, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 15, 2016
Last Updated: Nov 15, 2016

Practice Location

Address: 4817 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4537
Phone: (360) 852-0809

Authorized Official

Name: TIMOTHY RICHARDSON, DDS
Title: OWNER
Phone: (360) 852-0809

Specialties & Taxonomy Codes

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

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