Oak Park Family Dental Care

NPI #1518296193 in Salem, Oregon

Provider Information

NPI Number: 1518296193
Entity Type: Organization
Organization Name: Oak Park Family Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 760 HIGH ST NE
City: Salem
State: Oregon
ZIP Code: 97301-2440
Phone: (503) 588-7800

Authorized Official

Name: MRS. BARBARA JEAN KETCHUM
Title: OFFICE MANAGER
Phone: (503) 588-7800

Specialties & Taxonomy Codes

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

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