Aspen Dental of Oregon PC

NPI #1780819284 in Keizer, Oregon

Provider Information

NPI Number: 1780819284
Entity Type: Organization
Organization Name: Aspen Dental of Oregon PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 27, 2009
Last Updated: May 27, 2009

Practice Location

Address: 2535 JORIE LN NE
Address 2: 104
City: Keizer
State: Oregon
ZIP Code: 97303-4136
Phone: (503) 463-4000

Authorized Official

Name: DR. STEVEN RALPH DUFFIN, DDS
Title: OWNER
Phone: (503) 463-4000

Specialties & Taxonomy Codes

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

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