Organization
NW DENTAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PUFFER (DENTIST/OWNER)
(503) 829-9731
Entity
Organization
Contact information
Practice address
106 E 2ND ST, MOLALLA, OR 97038-9195
(503) 829-9731
(503) 829-8626
Mailing address
PO BOX 657, MOLALLA, OR 97038-0657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9476
OR
122300000X
Dentist
Primary
D9607
OR
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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