Organization
POLARIS DENTAL SPECIALISTS
Active
Other names
TCD Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TUONG NGUYEN NGUYEN BDS, MSD (OWNER)
(503) 327-4396
Entity
Organization
Contact information
Practice address
620 12TH STREET SE, SALEM, OR 97301
(503) 991-5921
(503) 255-1542
Mailing address
620 12TH ST. SE, SALEM, OR 97301
(503) 991-5921
(503) 255-1542
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D9058
OR
1223P0300X
Periodontics
—
—
Other
Enumeration date
05/14/2014
Last updated
06/19/2017
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