Organization
BUILDING BLOCKS PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA RAY DMD (PRESIDENT)
(503) 363-1661
Entity
Organization
Contact information
Practice address
140 RAMSGATE SQ S STE 110, SALEM, OR 97302-5872
(503) 363-1712
Mailing address
140 RAMSGATE SQ S STE 120, SALEM, OR 97302-5873
(503) 363-1712
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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