Organization
WILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY J EYRE (OFFICE MANAGER)
(503) 581-1999
Entity
Organization
Contact information
Practice address
250 CHURCH ST SE STE 102, SALEM, OR 97301-3758
(503) 581-1999
(503) 581-1107
Mailing address
250 CHURCH ST SE STE 102, SALEM, OR 97301-3758
(503) 581-1999
(503) 581-1107
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D6858
OR
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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