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Organization

SMILES ON 9TH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY BERG DMD (OWNER/DOCTOR)
(541) 928-2301
Entity
Organization

Contact information

Practice address
903 9TH AVE SW, ALBANY, OR 97321-2420
(541) 926-4039
Mailing address
2825 WILLETTA ST SW, ALBANY, OR 97321-3846
(541) 979-4811

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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