Organization
JEREMY HAIDER DMD PC
Active
Other names
Haider Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
R. JEREMY HAIDER DMD (PRESIDENT)
(503) 363-6525
Entity
Organization
Contact information
Practice address
2600 12TH ST SE, SALEM, OR 97302-2155
(503) 363-6525
Mailing address
2600 12TH ST SE, SALEM, OR 97302-2155
(503) 363-6525
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8985
OR
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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