Organization
MOLALLA DENTAL CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JATINDER SINGN DHADLI DDS (DENTIST OWNER)
(503) 829-9734
Entity
Organization
Contact information
Practice address
175 GRANGE AVE, MOLALLA, OR 97038
(503) 829-9734
(877) 247-4991
Mailing address
PO BOX 629, MOLALLA, OR 97038-0629
(503) 829-9734
(503) 829-9735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7660
OR
Other
Enumeration date
02/13/2009
Last updated
05/21/2014
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