Individual
DR. THERESA JEANNE LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2411 GREAR ST NE, SALEM, OR 97301-2702
(503) 363-0622
Mailing address
2411 GREAR ST NE, SALEM, OR 97301-2702
(503) 363-0622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9556
OR
Other
Enumeration date
05/03/2011
Last updated
01/16/2012
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