Lebaron Dentistry, LLC

NPI #1790192342 in Keizer, Oregon

Provider Information

NPI Number: 1790192342
Entity Type: Organization
Organization Name: Lebaron Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 15, 2014
Last Updated: Jul 15, 2014

Practice Location

Address: 3975 RIVER RD N STE 5
City: Keizer
State: Oregon
ZIP Code: 97303-4811
Phone: (503) 393-9106

Authorized Official

Name: DR. TRENTON LEBARON, D.M.D.
Title: MEMBER
Phone: (503) 393-9106

Specialties & Taxonomy Codes

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

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