Organization
MID-VALLEY ORAL, MAXILLOFACIAL & IMPLANT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C. SWIDERSKI DDS, MD (OWNER)
(503) 581-0223
Entity
Organization
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
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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