Organization
PONDEROSA DENTAL ARTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D. BERKNER DMD (MEMBER/OWNER)
(506) 656-6464
Entity
Organization
Contact information
Practice address
1174 MOLALLA AVE, OREGON CITY, OR 97045-3770
(503) 656-6464
(503) 577-4677
Mailing address
1174 MOLALLA AVE, OREGON CITY, OR 97045-3770
(503) 656-6464
(503) 577-4677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9967
OR
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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