Individual
DR. EDWARD ALAN MUTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
315 OXFORD ST SE, SALEM, OR 97302-5249
(503) 362-3723
(503) 364-7515
Mailing address
315 OXFORD ST SE, SALEM, OR 97302-5249
(503) 362-3723
(503) 364-7515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4756
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125724
—
OR
Enumeration date
07/05/2005
Last updated
07/08/2007
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