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Organization

DENTAL WEST ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RALEIGH SCOTT PIOCH D.D.S (PRESIDENT)
(503) 399-0220
Entity
Organization

Contact information

Practice address
2245 MISSION ST SE, SALEM, OR 97302-1291
(503) 399-0220
(503) 362-9314
Mailing address
2245 MISSION ST SE, SALEM, OR 97302-1291
(503) 399-0220
(503) 362-9314

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D8928
OR
1223G0001X
General Practice Dentistry
Primary
D9000
OR
1223G0001X
General Practice Dentistry
D9676
OR

Other

Enumeration date
11/02/2011
Last updated
11/07/2011
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