Organization
MILL CREEK DENTAL LLC
Active
Parent organization
MID-VALLEY DENTAL ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID-VALLEY DENTAL ASSOCIATES, LLC
Authorized official
GEOFFREY ALDEN BERG DMD (MANAGER/MEMBER)
(541) 928-2301
Entity
Organization
Contact information
Practice address
848 COMMERCIAL ST NE, SALEM, OR 97301-1016
(503) 362-9151
Mailing address
2825 WILLETTA ST SW, ALBANY, OR 97321-3846
(541) 928-2301
(541) 928-8493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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