Organization
ACORN DENTISTRY FOR KIDS - CORVALLIS, LLC
Active
Other names
Acorn Dentistry For Kids - Corvallis
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RICHARDSON DDS (OWNER/DENTIST)
(503) 874-4560
Entity
Organization
Contact information
Practice address
1731 NW KINGS BLVD, CORVALLIS, OR 97330-1905
(503) 874-4560
(503) 874-4562
Mailing address
411 N WATER ST, SILVERTON, OR 97381-1625
(503) 874-4560
(503) 874-4562
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9577
OR
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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