Hickory St LLC

NPI #1245860345 in Albany, Oregon

Provider Information

NPI Number
1245860345
Entity Type
Organization
Organization Name
Hickory St LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 17, 2020
Last Updated
Jan 17, 2020

Practice Location

Address
637 HICKORY ST NW STE 110
City
Albany
State
Oregon
ZIP Code
97321-1761
Phone
(541) 406-3500

Authorized Official

Name
DR. AMANPREET FLYNN, DDS
Title
OWNER
Phone
(541) 406-3500

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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