Acorn Dentistry for Kids - Silverton, LLC

NPI #1417407859 in Silverton, Oregon

Provider Information

NPI Number
1417407859
Entity Type
Organization
Organization Name
Acorn Dentistry for Kids - Silverton, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ACORN DENTISTRY FOR KIDS, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 10, 2016
Last Updated
Oct 10, 2016

Practice Location

Address
411 N WATER ST
State
Oregon
ZIP Code
97381-1625
Phone
(360) 852-0809

Authorized Official

Name
DR. TIMOTHY RICHARDSON, DDS
Title
OWNER/MANAGER
Phone
(360) 852-0809

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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