Mill Creek Dental LLC

NPI #1457926834 in Salem, Oregon

Provider Information

NPI Number: 1457926834
Entity Type: Organization
Organization Name: Mill Creek Dental LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MID-VALLEY DENTAL ASSOCIATES, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 26, 2021
Last Updated: May 26, 2021

Practice Location

Address: 848 COMMERCIAL ST NE
City: Salem
State: Oregon
ZIP Code: 97301-1016
Phone: (503) 362-9151

Authorized Official

Name: GEOFFREY ALDEN BERG, DMD
Title: MANAGER/MEMBER
Phone: (541) 928-2301

Specialties & Taxonomy Codes

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

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