Mid-Valley Dental Associates Corvallis LLC

NPI #1992169742 in Corvallis, Oregon

Provider Information

NPI Number
1992169742
Entity Type
Organization
Organization Name
Mid-Valley Dental Associates Corvallis LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MID-VALLEY DENTAL ASSOCIATES LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 7, 2016
Last Updated
Apr 7, 2016

Practice Location

Address
2300 NW KINGS BLVD
State
Oregon
ZIP Code
97330-3925
Phone
(541) 754-2214

Authorized Official

Name
MANDY KAY DITTMER
Title
PRACTICE MANAGER
Phone
(541) 928-2301

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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