Keizer Rapids Dental, LLC

NPI #1720746860 in Keizer, Oregon

Provider Information

NPI Number: 1720746860
Entity Type: Organization
Organization Name: Keizer Rapids Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 6, 2021
Last Updated: Dec 6, 2021

Practice Location

Address: 4754 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4536
Phone: (503) 393-6286

Authorized Official

Name: DR. BRIAN ANDREW OGLE, DMD
Title: OWNER
Phone: (503) 393-6286

Specialties & Taxonomy Codes

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

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