Individual
DR. REID MICHAEL AMBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1810 E NOB HILL ST SE, SALEM, OR 97302-5238
(503) 581-8141
(503) 375-2808
Mailing address
1810 E NOB HILL ST SE, SALEM, OR 97302-5238
(503) 581-8141
(503) 375-2808
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6147
OR
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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