Organization
SHOREVIEW DENTAL, LLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RALPH DUFFIN DDS (OWNER/DENTIST)
(503) 393-5133
Entity
Organization
Contact information
Practice address
5885 SHOREVIEW LN N, KEIZER, OR 97303-3866
(503) 393-5133
(503) 393-2439
Mailing address
5885 SHOREVIEW LN N, KEIZER, OR 97303-3866
(503) 393-5133
(503) 393-2439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7025
OR
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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