Npdg-2, LLC

NPI #1184169252 in Corvallis, Oregon

Provider Information

NPI Number
1184169252
Entity Type
Organization
Organization Name
Npdg-2, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 28, 2016
Last Updated
Dec 28, 2016

Practice Location

Address
1310 NW HARRISON BLVD
State
Oregon
ZIP Code
97330-5916
Phone
(541) 753-8365

Authorized Official

Name
DR. MARK P SWENSEN, DDS
Title
OWNER
Phone
(541) 753-8365

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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