Idylwood Dental LLC

NPI #1437643616 in Salem, Oregon

Provider Information

NPI Number: 1437643616
Entity Type: Organization
Organization Name: Idylwood Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 20, 2018
Last Updated: Jun 20, 2018

Practice Location

Address: 4392 LIBERTY ROAD
City: Salem
State: Oregon
ZIP Code: 97302-6171
Phone: (503) 315-2500

Authorized Official

Name: EDGAR MERZENICH, DMD
Title: CLINICAL DIRECTOR
Phone: (503) 315-2500

Specialties & Taxonomy Codes

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

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