Individual
BYRON CHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4755 LIBERTY RD S, SALEM, OR 97302-5077
(503) 395-1209
Mailing address
4755 LIBERTY RD S, SALEM, OR 97302-5077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11572
OR
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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