Organization
CLOVER PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES DDS (OWNER/DENTIST)
(541) 666-6091
Entity
Organization
Contact information
Practice address
2225 MISSION ST SE STE 150, SALEM, OR 97302-1296
(541) 990-0363
Mailing address
2235 MISSION ST SE STE 250, SALEM, OR 97302-1294
(541) 990-0363
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
05/30/2024
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