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Organization
MONROE AVENUE DENTAL
Active
Organization
MONROE AVENUE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNY DAMIAN (DENTIST)
(503) 998-4872
Entity
Organization
Contact information
Practice address
853 NW MONROE AVE, CORVALLIS, OR 97330-6352
(503) 998-4872
Mailing address
853 NW MONROE AVE, CORVALLIS, OR 97330-6352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9001
OR
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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