Organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Other names
Pearly Whites Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF OREGON, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
1296 COMMERCIAL ST SE STE 101, SALEM, OR 97302-4200
(503) 585-4282
Mailing address
1296 COMMERCIAL ST SE STE 101, SALEM, OR 97302-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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