Woodburn Dental Group, P.c.

NPI #1568786911 in Woodburn, Oregon

Provider Information

NPI Number: 1568786911
Entity Type: Organization
Organization Name: Woodburn Dental Group, P.c.
Primary Specialty: Dentist
Enumeration Date: Mar 15, 2010
Last Updated: Mar 15, 2010

Practice Location

Address: 1034 N. BOONES FERRY RD.
City: Woodburn
State: Oregon
ZIP Code: 97071
Phone: (503) 982-9428

Authorized Official

Name: STEVEN BLAKLEY, DMD
Title: OWNER
Phone: (503) 981-1841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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