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

Address
3490 LANCASTER DR NE
City
Salem
State
Oregon
ZIP Code
97305-1356
Phone
(503) 540-9041

Authorized Official

Name
MS. CAMILLE STARK
Title
CPCS CREDENTIALING SPECIALIST
Phone
(503) 952-2125

Specialties & Taxonomy Codes

Specialty
Dentist

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