Acorn Dentistry for Kids - Lebanon, LLC

NPI #1831633122 in Lebanon, Oregon

Provider Information

NPI Number
1831633122
Entity Type
Organization
Organization Name
Acorn Dentistry for Kids - Lebanon, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ACORN DENTISTRY FOR KIDS, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 6, 2016
Last Updated
Dec 6, 2016

Practice Location

Address
1780 S MAIN ST
State
Oregon
ZIP Code
97355-3139
Phone
(503) 874-4560

Authorized Official

Name
TIM RICHARDSON, DDS
Title
OWNER
Phone
(360) 852-0809

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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