Organization
OAK PARK FAMILY DENTAL CARE
Active
Other names
Oak Park Family Dental Care-High St
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JEAN KETCHUM (OFFICE MANAGER)
(503) 588-7800
Entity
Organization
Contact information
Practice address
760 HIGH ST NE, SALEM, OR 97301-2440
(503) 588-7800
(503) 391-0762
Mailing address
760 HIGH ST NE, SALEM, OR 97301-2440
(503) 588-7800
(503) 391-0762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7020
OR
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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