Statewide Dental Service, PC
NPI #1831417245 in Springfield, Oregon
Provider Information
- NPI Number
- 1831417245
- Entity Type
- Organization
- Organization Name
- Statewide Dental Service, PC
- Primary Specialty
- Dentist
- Enumeration Date
- May 10, 2010
- Last Updated
- May 10, 2010
Practice Location
- Address
- 498 HARLOW RD STE 3
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97477-1339
- Phone
- (541) 393-7000
Authorized Official
- Name
- CEDRIC ROSS HAYDEN, DDS
- Title
- PRESIDENT
- Phone
- (541) 393-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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