Monroe Avenue Dental

NPI #1306114657 in Corvallis, Oregon

Provider Information

NPI Number: 1306114657
Entity Type: Organization
Organization Name: Monroe Avenue Dental
Primary Specialty: Dentist
Enumeration Date: Dec 1, 2011
Last Updated: Dec 1, 2011

Practice Location

Address: 853 NW MONROE AVE
City: Corvallis
State: Oregon
ZIP Code: 97330-6352
Phone: (503) 998-4872

Authorized Official

Name: DR. BENNY DAMIAN
Title: DENTIST
Phone: (503) 998-4872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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