Organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Other names
Crown Point Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF OREGON, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
1005 13TH ST SE, SALEM, OR 97302-2506
(503) 364-7232
Mailing address
1005 13TH ST SE, SALEM, OR 97302-2506
(503) 364-7232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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