Pioneer Dental Group PC
NPI #1205213303 in Oregon City, Oregon
Provider Information
- NPI Number
- 1205213303
- Entity Type
- Organization
- Organization Name
- Pioneer Dental Group PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 28, 2015
- Last Updated
- Nov 17, 2015
Practice Location
- Address
- 19129 BEAVERCREEK RD
- City
- Oregon City
- State
- Oregon
- ZIP Code
- 97045-9539
- Phone
- (503) 305-5051
Authorized Official
- Name
- RALEIGH SCOTT PIOCH
- Title
- PRESIDENT
- Phone
- (503) 867-7179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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