Organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF OREGON, P.C.
Other names
Dental Care of Canby
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF OREGON, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
851 SW 1ST AVE STE 103, CANBY, OR 97013-3863
(503) 266-2705
Mailing address
851 SW 1ST AVE STE 103, CANBY, OR 97013-3863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
11/27/2023
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