Organization
VALLEY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LEE WILSON DMD (PRESIDENT)
(541) 768-0419
Entity
Organization
Contact information
Practice address
2350 NW CENTURY DR STE 200, CORVALLIS, OR 97330-3495
(541) 768-0419
(541) 768-0521
Mailing address
2350 NW CENTURY DR STE 200, CORVALLIS, OR 97330-3495
(541) 768-0419
(541) 768-0521
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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