Northwest Dental Arts PC

NPI #1508136581 in Keizer, Oregon

Provider Information

NPI Number: 1508136581
Entity Type: Organization
Organization Name: Northwest Dental Arts PC
Primary Specialty: Dentist
Enumeration Date: Jan 6, 2012
Last Updated: Apr 5, 2012

Practice Location

Address: 4734 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4536
Phone: (503) 463-4663

Authorized Official

Name: SHELLY RENEE SUTTER
Title: OFFICE MANAGER
Phone: (503) 463-4663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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