Organization
SHRUTI JADEJA, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRUTI JADEJA DDS (OWNER)
(310) 404-7870
Entity
Organization
Contact information
Practice address
3460 LIBERTY RD S, SALEM, OR 97302-4607
(503) 877-1626
Mailing address
3095 TROTH CT SE, SALEM, OR 97302-3245
(310) 404-7870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10426
OR
Other
Enumeration date
04/17/2018
Last updated
09/14/2023
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