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Individual

DAVID C SWIDERSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
1565 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 581-0223
Mailing address
1565 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 581-0223

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11819
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9087
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
50992
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD29162
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
729449200
MN
01
P00052037
MEDICARE, RAILROAD
MN
Enumeration date
01/16/2006
Last updated
04/18/2009
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