Organization
ASPEN DENTAL KEIZER OR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LIVINGSTON (OWNER)
(503) 463-4000
Entity
Organization
Contact information
Practice address
2535 JORIE LN NE STE 104, KEIZER, OR 97303-4137
(503) 463-4000
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
06/13/2023
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