# BUILDING BLOCKS PEDIATRIC DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235904186
- **Authorized official:** DR. TRICIA RAY DMD (PRESIDENT)
- **Authorized official phone:** (503) 363-1661

## Contact information

- **Practice address:** 140 RAMSGATE SQ S STE 110, SALEM, OR 97302-5872
- **Practice address phone:** (503) 363-1712
- **Mailing address:** 140 RAMSGATE SQ S STE 120, SALEM, OR 97302-5873
- **Mailing address phone:** (503) 363-1712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2023
- **Last updated:** 11/21/2023