Organization
SOUTH SALEM ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART L CARTER DMD,MS (MEMBER)
(503) 588-2404
Entity
Organization
Contact information
Practice address
1790 LIBERTY ST SE, SALEM, OR 97302-5159
(503) 588-2404
Mailing address
1790 LIBERTY ST SE, SALEM, OR 97302-5159
(503) 588-2404
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8869
OR
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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