Inland Shores Family Dental

NPI #1992085252 in Keizer, Oregon

Provider Information

NPI Number: 1992085252
Entity Type: Organization
Organization Name: Inland Shores Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 18, 2011
Last Updated: Aug 18, 2011

Practice Location

Address: 5830 SHOREVIEW LN N
City: Keizer
State: Oregon
ZIP Code: 97303-3866
Phone: (503) 390-4117

Authorized Official

Name: MEGAN PETERSON, D.M.D.
Title: OWNER/DENTIST
Phone: (503) 390-4117

Specialties & Taxonomy Codes

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

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