Organization
V2 FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SCOTT VAN VOORHIS D.D.S (PESIDENT)
(503) 569-0953
Entity
Organization
Contact information
Practice address
398 NE NORTON LN, MCMINNVILLE, OR 97128-8481
(503) 569-0953
(503) 463-6141
Mailing address
398 NE NORTON LN, MCMINNVILLE, OR 97128-8481
(503) 569-0953
(503) 463-6141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7349
OR
1223G0001X
General Practice Dentistry
Primary
D7405
OR
Other
Enumeration date
09/13/2005
Last updated
08/22/2020
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