Organization
WOODBURN COMMUNITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK K RODMAN DMD (OWNER)
(503) 982-1188
Entity
Organization
Contact information
Practice address
790 LAWSON AVE, WOODBURN, OR 97071-2988
(503) 982-1188
(503) 982-5524
Mailing address
790 LAWSON AVE, WOODBURN, OR 97071-2988
(503) 982-1188
(503) 982-5524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5827
OR
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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