Crisdental East Salem, LLC

NPI #1558601385 in Salem, Oregon

Provider Information

NPI Number: 1558601385
Entity Type: Organization
Organization Name: Crisdental East Salem, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CRISDENTAL GROUP, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 14, 2013
Last Updated: Feb 14, 2013

Practice Location

Address: 3545 LANCASTER DR NE
City: Salem
State: Oregon
ZIP Code: 97305-1435
Phone: (541) 672-2747

Authorized Official

Name: MICHAEL J BRATLAND, DMD
Title: OWNER
Phone: (541) 672-2747

Specialties & Taxonomy Codes

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

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