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Organization

ACORN DENTISTRY FOR KIDS - WEST SALEM, LLC

Active
Other names
Acorn Dentistry for Kids - West Salem
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY RICHARDSON DDS (OWNER)
(503) 874-4560
Entity
Organization

Contact information

Practice address
1049 EDGEWATER ST NW, SALEM, OR 97304-4046
(503) 874-4560
(503) 874-4562
Mailing address
204 N 1ST ST STE E, SILVERTON, OR 97381-1635
(503) 874-4560

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
09/10/2019
Last updated
09/10/2019
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