Organization
LANCASTER DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY BERG DMD (OWNER)
(541) 928-2301
Entity
Organization
Contact information
Practice address
1640 LANCASTER DR NE, SALEM, OR 97301-1922
(503) 364-9422
Mailing address
2825 WILLETTA ST SW, ALBANY, OR 97321-3846
(541) 928-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
OR
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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