Organization
HAYDEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MEYER (MANAGER)
(541) 393-7000
Entity
Organization
Contact information
Practice address
498 HARLOW RD, SUITE #3, SPRINGFIELD, OR 97477-1336
(541) 393-7000
(541) 393-7003
Mailing address
498 HARLOW ROAD, SUITE #3, SPRINGFIELD, OR 97477-1339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
02/22/2010
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