Organization
KEIZER RAPIDS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANDREW OGLE DMD (OWNER)
(503) 393-6286
Entity
Organization
Contact information
Practice address
4754 RIVER RD N, KEIZER, OR 97303-4536
(503) 393-6286
Mailing address
419 E DREAS WAY, NEWBERG, OR 97132-8800
(503) 537-8781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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