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Organization
PURE DENTAL PC
Active
Organization
PURE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER OWENS D.D.S (OWNER/PRESIDENT/DENTIST)
(503) 580-6077
Entity
Organization
Contact information
Practice address
3470 PIPEBEND PL NE STE 110, SALEM, OR 97301-1741
(503) 580-6077
Mailing address
3470 PIPEBEND PL NE STE 110, SALEM, OR 97301-1741
(503) 580-6077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7830
OR
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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