Willamette Dental Group
NPI #1992182026 in Salem, Oregon
Provider Information
- NPI Number
- 1992182026
- Entity Type
- Organization
- Organization Name
- Willamette Dental Group
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 27, 2015
- Last Updated
- Apr 27, 2015
Practice Location
Authorized Official
- Name
- MS. CAMILLE STARK
- Title
- CPCS CREDENTIALING SPECIALIST
- Phone
- (503) 952-2125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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