Organization
WOODBURN COSMETIC & FAMILY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BLAKLEY D.M.D. (OWNER)
(503) 981-1841
Entity
Organization
Contact information
Practice address
1018 N. BOONES FERRY RD., WOODBURN, OR 97071
(503) 981-1841
(503) 981-7334
Mailing address
1018 N. BOONES FERRY RD., WOODBURN, OR 97071
(503) 981-1841
(503) 981-7334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6259
OR
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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