Organization
PIONEER DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALEIGH SCOTT PIOCH (PRESIDENT)
(503) 867-7179
Entity
Organization
Contact information
Practice address
19129 BEAVERCREEK RD, OREGON CITY, OR 97045-9539
(503) 305-5051
(503) 342-6069
Mailing address
19129 BEAVERCREEK RD, OREGON CITY, OR 97045-9539
(503) 305-5051
(503) 342-6069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9000
OR
Other
Enumeration date
04/28/2015
Last updated
11/17/2015
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