Keizer Family Dental Care

NPI #1699034082 in Keizer, Oregon

Provider Information

NPI Number: 1699034082
Entity Type: Organization
Organization Name: Keizer Family Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: May 7, 2012
Last Updated: May 7, 2012

Practice Location

Address: 4600 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4648
Phone: (503) 393-2264

Authorized Official

Name: DR. MARC T. IWAHIRO, DMD
Title: DENTIST
Phone: (503) 393-2264

Specialties & Taxonomy Codes

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

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