Mid-Valley Dental Associates, LLC

NPI #1700165362 in Salem, Oregon

Provider Information

NPI Number
1700165362
Entity Type
Organization
Organization Name
Mid-Valley Dental Associates, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MID-VALLEY DENTAL ASSOCIATES
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 12, 2011
Last Updated
Aug 12, 2011

Practice Location

Address
3385 CENTER ST NE
City
Salem
State
Oregon
ZIP Code
97301-4609
Phone
(503) 585-2030

Authorized Official

Name
SHAWN R GRIFFIN
Title
ADMINISTRATOR
Phone
(541) 929-5227

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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