Woodburn Community Dental

NPI #1386968568 in Woodburn, Oregon

Provider Information

NPI Number: 1386968568
Entity Type: Organization
Organization Name: Woodburn Community Dental
Primary Specialty: Dentist
Enumeration Date: Mar 17, 2010
Last Updated: Mar 17, 2010

Practice Location

Address: 790 LAWSON AVE
City: Woodburn
State: Oregon
ZIP Code: 97071-2988
Phone: (503) 982-1188

Authorized Official

Name: DR. MARK K RODMAN, DMD
Title: OWNER
Phone: (503) 982-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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