Organization
TRANSFORM SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC A PANET-RAYMOND DDS (DENTIST)
(503) 362-3719
Entity
Organization
Contact information
Practice address
150 MADRONA AVE SE, SALEM, OR 97302-4608
(503) 362-3719
Mailing address
150 MADRONA AVE SE, SALEM, OR 97302-4608
(503) 362-3719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6920
OR
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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