West Coast Dental

NPI #1285858027 in Salem, Oregon

Provider Information

NPI Number: 1285858027
Entity Type: Organization
Organization Name: West Coast Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1880 LANCASTER DR NE STE 121
City: Salem
State: Oregon
ZIP Code: 97305-1069
Phone: (503) 589-4515

Authorized Official

Name: CEDRIC ROSS HAYDEN, DDS
Title: OWNER
Phone: (541) 242-8904

Specialties & Taxonomy Codes

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

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