Organization
CARLTON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MILLER (BUSINESS MANAGER)
(503) 852-7147
Entity
Organization
Contact information
Practice address
133 E. MAIN ST., CARLTON, OR 97111
(503) 852-7714
(503) 852-7149
Mailing address
PO BOX 220, 133 EAST MAIN ST., CARLTON, OR 97111-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5513
OR
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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