Organization
BENJAMIN ZIKE DDS
Active
Other names
Green Tree Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ZIKE DDS (PRESIDENT)
(385) 445-4989
Entity
Organization
Contact information
Practice address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
Mailing address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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