Organization
MAPLE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JAMES DDS (OWNER/DENTIST)
(541) 666-6091
Entity
Organization
Contact information
Practice address
410 E ELLENDALE AVE STE 4, DALLAS, OR 97338-3052
(971) 900-9163
Mailing address
410 E ELLENDALE AVE STE 4, DALLAS, OR 97338-3052
(971) 900-9163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
11/09/2023
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