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Organization

KEIZER FAMILY DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC T. IWAHIRO DMD (DENTIST)
(503) 393-2264
Entity
Organization

Contact information

Practice address
4600 RIVER RD N, KEIZER, OR 97303-4648
(503) 393-2264
(503) 393-2324
Mailing address
4600 RIVER RD N, KEIZER, OR 97303-4648
(503) 393-2264
(503) 393-2324

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7121
OR

Other

Enumeration date
05/07/2012
Last updated
05/07/2012
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