Lancaster Dental, LLC

NPI #1225375207 in Salem, Oregon

Provider Information

NPI Number: 1225375207
Entity Type: Organization
Organization Name: Lancaster Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 10, 2013
Last Updated: Jan 10, 2013

Practice Location

Address: 1640 LANCASTER DR NE
City: Salem
State: Oregon
ZIP Code: 97301-1922
Phone: (503) 364-9422

Authorized Official

Name: GEOFFREY BERG, DMD
Title: OWNER
Phone: (541) 928-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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