Organization
LEBARON DENTISTRY, LLC
Active
Other names
Keizer Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENTON LEBARON D.M.D. (MEMBER)
(503) 393-9106
Entity
Organization
Contact information
Practice address
3975 RIVER RD N STE 5, KEIZER, OR 97303-4811
(503) 393-9106
(503) 393-3053
Mailing address
3975 RIVER RD N STE 5, KEIZER, OR 97303-4811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9266
OR
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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