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Organization
NEWBERG COMMUNITY DENTAL
Active
Organization
NEWBERG COMMUNITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RODMAN DMD (OWNER)
(503) 538-7717
Entity
Organization
Contact information
Practice address
615 E 2ND ST, NEWBERG, OR 97132-3100
(503) 538-7717
(503) 538-7727
Mailing address
615 E 2ND ST, NEWBERG, OR 97132-3100
(503) 538-7717
(503) 538-7727
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
D5827
OR
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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