Organization
SALEM ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ROY CHRISTIANSEN D.D.S., M.S.D. (OWNER)
(503) 363-6500
Entity
Organization
Contact information
Practice address
4342 LIBERTY RD S, SALEM, OR 97302-6171
(503) 363-6500
(503) 363-6292
Mailing address
4342 LIBERTY RD S, SALEM, OR 97302-6171
(503) 363-6500
(503) 363-6292
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D5856
OR
Other
Enumeration date
03/19/2012
Last updated
03/20/2012
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