Organization
LIBERTY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE DDS (PRESIDENT, OWNER)
(503) 585-2440
Entity
Organization
Contact information
Practice address
1655 LIBERTY ST SE, SALEM, OR 97302-4347
(503) 585-2440
Mailing address
1655 LIBERTY ST SE, SALEM, OR 97302-4347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7244
OR
Other
Enumeration date
05/16/2007
Last updated
07/21/2015
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