Organization
HOLLY A CHAMBERLAIN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY A CHAMBERLAIN DDS (OWNER)
(503) 363-8625
Entity
Organization
Contact information
Practice address
1800 STATE ST, SALEM, OR 97301-4343
(503) 363-8625
(503) 363-0027
Mailing address
1800 STATE ST, SALEM, OR 97301-4343
(503) 363-8625
(503) 363-0027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8215
OR
Other
Enumeration date
05/17/2017
Last updated
03/17/2018
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