Organization
ACORN DENTISTRY FOR KIDS - SILVERTON, LLC
Active
Parent organization
ACORN DENTISTRY FOR KIDS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACORN DENTISTRY FOR KIDS, LLC
Authorized official
DR. TIMOTHY RICHARDSON DDS (OWNER/MANAGER)
(360) 852-0809
Entity
Organization
Contact information
Practice address
411 N WATER ST, SILVERTON, OR 97381-1625
(360) 852-0809
Mailing address
PO BOX 1370, SILVERTON, OR 97381-0350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9577
OR
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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