Organization
TREEHOUSE KIDS DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN NICOLE ESTEP DMD (PEDIATRIC DENTIST)
(541) 264-0211
Entity
Organization
Contact information
Practice address
1611 J ST, SPRINGFIELD, OR 97477-4252
(541) 515-6631
Mailing address
3960 STERLING WOODS DR, EUGENE, OR 97408-7209
(541) 264-0211
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811204233
—
OR
Enumeration date
07/01/2019
Last updated
07/01/2019
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